Individual
OMAR F SHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE 600, MIDLOTHIAN, VA 23114-3222
(804) 794-6400
(804) 897-0910
Mailing address
13700 ST FRANCIS BLVD, SUITE 600, MIDLOTHIAN, VA 23114-3222
(804) 794-6400
(804) 897-0910
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101257400
VA
207RC0000X
Cardiovascular Disease Physician
ME114846
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME114846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09462
GROUP PTAN
VA
Enumeration date
08/05/2007
Last updated
05/26/2015
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