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Contact Information

OMAR AL AZZAWI
276 COLONNADE DR APT 32
CHARLOTTESVILLE, VA22903-4964
 Phone: 434-218-8404
 Fax: 434-202-1267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for OMAR AL AZZAWI · (Male)

NPI Number 1972166700
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2019
Last updated 04/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 318814-906132
Hospital affiliation(s) Not Available
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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