Omar, Khawaja Owais

Omar, Khawaja Owais is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Ste 700 , Charleston WV 25304-1230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Omar, Khawaja Owais can be contacted via phone (304) 720-7305.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Ste 700 Charleston WV 25304-1230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2014027663 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01069485A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 30789 West Virginia

Profile Details

NPI number 1104077312
LBN Legal business name Omar, Khawaja Owais
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Feb 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104077312 NPPES
Indiana MEDICAID 201022120

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