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Individual

DR. OMAR RAZZAQUE SHAKIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MBA

Contact information

Practice address
600 W PUTNAM AVE LOWR LEVEL, GREENWICH, CT 06830-6080
(321) 960-2664
Mailing address
600 W PUTNAM AVE LOWR LEVEL, GREENWICH, CT 06830-6080
(203) 900-7911
(203) 900-7911

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
291443
NY
207W00000X
Ophthalmology Physician
Primary
55031
CT
207WX0107X
Retina Specialist (Ophthalmology) Physician
291443
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
55031
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008082958
CT
Enumeration date
05/17/2012
Last updated
01/20/2022
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