Mahad Omar
NPI #1245912070 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1245912070
- Entity Type
- Individual
- Name
- Mahad Omar
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor
- Enumeration Date
- Aug 2, 2023
- Last Updated
- Oct 23, 2024
Practice Location
- Address
- 1865 OLD HUDSON RD STE A14
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55119-4308
- Phone
- (651) 815-2790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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