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NPI Code Detail

MEDICARE: OMER KHALID M.D.

MEDICARE:   OMER  KHALID  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician0101260793VA

Other Identifiers

General Provider Information

NPI Number : 1174565899
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMER KHALID M.D.
Provider Business Mailing Address
First Line : 2369 STAPLES MILL RD
Second Line : STE 200
City : RICHMOND
State : VA
Zip : 23230-2918
Country : US
Telephone Number : 804-285-8206
Fax Number : 804-497-5469
Provider Business Practice Location Address
First Line : 201 WADSWORTH DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-4510
Country : US
Telephone Number : 804-285-8206
Fax Number : 804-497-5469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 02/23/2017

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