Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABDIFATAH SHARIFF OMAR
Active Sole ProprietorABDIFATAH SHARIFF OMAR is a Contractor healthcare provider located in ROSEVILLE, Minnesota. NPI 1295246429 is currently active in the NPPES registry. Verify at CMS.
Contractor · ROSEVILLE, MN
Registration Details
- NPI Number
- 1295246429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2017 (8.8375435453269 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2355 FAIRVIEW AVE N #182ROSEVILLE, MN, 55113Browse MN providers · Browse ZIP 55113
- Phone
- 6129998057
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.