Individual
DR. OMAR DAJANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2505
(952) 993-3150
(952) 993-3611
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
266351
MA
207W00000X
Ophthalmology Physician
69362
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
69362
MN
390200000X
Student in an Organized Health Care Education/Training Program
RS2018-0944
NM
Other
Enumeration date
03/30/2015
Last updated
04/26/2023
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