Individual
OMER KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 285-8206
(804) 497-5469
Mailing address
2369 STAPLES MILL RD, STE 200, RICHMOND, VA 23230-2918
(804) 285-8206
(804) 497-5469
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101260793
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556532
ANTHEM
IN
05
—
1174565899
—
NC
05
—
1174565899
—
VA
05
—
200902480
—
IN
Enumeration date
06/11/2006
Last updated
02/23/2017
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