MEDICARE: AMANI ELKHAIRY OMAR

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1760334627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANI ELKHAIRY OMAR

Provider Business Mailing Address
First Line	:	5194 CENTRAL AVE NE
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-1825
Country	:	US
Telephone Number	:	763-710-7296
Fax Number	:	763-710-7475

Provider Business Practice Location Address
First Line	:	5194 CENTRAL AVE NE
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-1825
Country	:	US
Telephone Number	:	763-710-7296
Fax Number	:	763-710-7475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1215995071 — DR. MEGHABHUTI ROTH M.D.
Practice Location Address:

5178 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-586-6045
Practice Fax: 763-586-1098

1912016130 — DR. MARK W LAMPMAN DC
Practice Location Address:

5188 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-571-8960
Practice Fax: 763-571-2754

1407378565 — SHAOJIE LU L.AC.
Practice Location Address:

5178 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-586-6045
Practice Fax:

1639844277 — KHADRA BARRE
Practice Location Address:

5194 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-710-7296
Practice Fax:

1235804873 — SAMIRA HUSSEIN
Practice Location Address:

5194 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-710-7296
Practice Fax:

1417755257 — JINGYUAN CHEN M.A.
Practice Location Address:

5194 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN
55421-1825

Practice Phone: 763-710-7296
Practice Fax: 763-710-7475

Directions to “ AMANI ELKHAIRY OMAR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.