Individual
MR. OMAR AHMMED AWATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5441 DUPONT AVE N, BROOKLYN CENTER, MN 55430-3127
(612) 685-8048
Mailing address
5441 DUPONT AVE N, BROOKLYN CENTER, MN 55430-3127
(612) 685-8048
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
253Z00000X
MN
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
02/07/2012
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