Individual
OMAR JARAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 OLEANDER DR, MYRTLE BEACH, SC 29577-5720
(843) 602-6262
Mailing address
PO BOX 810, NORTH MYRTLE BEACH, SC 29597-0810
(843) 602-6262
(843) 946-0022
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22341
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
22341
SC
207RI0011X
Interventional Cardiology Physician
22341
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
22341
SC
207UN0901X
Nuclear Cardiology Physician
22341
SC
208U00000X
Clinical Pharmacology Physician
22341
SC
208VP0014X
Interventional Pain Medicine Physician
22341
SC
Other
Enumeration date
06/18/2007
Last updated
04/22/2008
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