Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OMAR DAJANI, M.D.
Active Sole ProprietorDR. OMAR DAJANI, M.D. is a Sports Medicine (Emergency) healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1639564446 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1639564446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2015 (11.414058453274 yrs)
- Last Updated
- Apr 26, 2023
- Licenses
-
266351 (MA)69362 (MN)RS2018-0944 (NM)69362 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 PARK NICOLLET BLVDST LOUIS PARK, MN, 554162505Browse MN providers · Browse ZIP 55416
- Phone
- 9529933150
- Fax
- 9529933611
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| DR. SHAWN M. RONAN | MD | 1386762227 |
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.