Individual
OMAR RASHID WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
(928) 226-6400
(928) 226-6410
Mailing address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
(928) 226-6410
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41280
AZ
207RC0000X
Cardiovascular Disease Physician
A73464
CA
207RI0011X
Interventional Cardiology Physician
41280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216317
ABIM CERTIFICATE NUMBER
CA
05
—
432227
—
AZ
01
—
A73464
MEDICAL LICENSE NUMBER
CA
Enumeration date
04/19/2007
Last updated
03/07/2023
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