Individual
OMAR ESSAM AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7125 TAMARACK RD STE 100, WOODBURY, MN 55125-1308
(952) 888-5800
Mailing address
9801 DUPONT AVE S, STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(651) 641-1702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44159
MN
207W00000X
Ophthalmology Physician
Primary
44159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00138842
RAILROAD MEDICARE
MN
Enumeration date
02/20/2006
Last updated
06/18/2020
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