Individual
MAHAD OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 OLD HUDSON RD STE A14, SAINT PAUL, MN 55119-4308
(651) 815-2790
(651) 560-3894
Mailing address
1865 OLD HUDSON RD STE A14, SAINT PAUL, MN 55119-4308
(651) 800-1822
(651) 560-3894
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
10/23/2024
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