National Provider Identifier Database

OMAR A BLANCO, MD – NPI #1619074531
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

OMAR A BLANCO, MD
601 CHILDRENS LN
NORFOLK, VA23507-1910
Phone: 757-668-9219
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for OMAR A BLANCO

NPI Number 1619074531
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 04/29/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0101222303
  • VA Medicaid: 6732305
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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