Mohamed Omar

NPI 1639881501 · on the registry since 2022 · sole proprietor

Practice

Address: 1516 E Lake St Ste 1512
Minneapolis, MN 55407
Phone: (612) 345-4929
Organisation at this address: Shifa Pharmacy Llc
Lakes Adult Day Care Inc
Medina Medical Clinic & Urgent Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota