# OMAR SHAHBAZ MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omar Shahbaz MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285251488
- **Authorized official:** MR. OMAR SHAHBAZ MD (GASTROENTEROLOGY)
- **Authorized official phone:** (860) 997-1234

## Contact information

- **Practice address:** 930 W MAIN ST, BARSTOW, CA 92311-2654
- **Practice address phone:** (760) 256-1004
- **Mailing address:** 930 W MAIN ST, BARSTOW, CA 92311-2654
- **Mailing address phone:** (760) 256-1004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2020
- **Last updated:** 07/03/2020