Omni Medical Group Pllc

NPI #1497136790 in Woodside, New York

Provider Information

NPI Number: 1497136790
Entity Type: Organization
Organization Name: Omni Medical Group Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 6413 BROADWAY
City: Woodside
State: New York
ZIP Code: 11377-2336
Phone: (718) 205-6561

Authorized Official

Name: DR. SHAMIM AHMED, MD
Title: MANAGING PARTNER
Phone: (718) 205-6561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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