Omidvari, Karan

Omidvari, Karan is an individual health care provider with primary practice located at 385 Prospect Ave Ste 204 , Hackensack NJ 07601-2570. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Omidvari, Karan can be contacted via phone (551) 996-9190.

Contact Information

Primary practice address
385 Prospect Ave Ste 204 Hackensack NJ 07601-2570
Phone: (551) 996-9190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219979 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 219979 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 219979 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MA56381 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 139772 New Jersey

Profile Details

NPI number 1962474742
LBN Legal business name Omidvari, Karan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 7th, 2020 - about 4 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 1962474742 NPPES
New Jersey MEDICAID 80187
New Jersey Other 25MA05638100

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