Punjabi, Omar Suresh

Punjabi, Omar Suresh is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Punjabi, Omar Suresh can be contacted via phone (704) 295-3000.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 125054371 Illinois
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2013-00729 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2013-00729 North Carolina

Profile Details

NPI number 1508022286
LBN Legal business name Punjabi, Omar Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Apr 26th, 2021 - about 5 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 1508022286 NPPES
North Carolina Other 1413612 WELLPATH/COVENTRY
North Carolina Other 178GY WELLPATH/COVENTRY
North Carolina Other 609329 WELLPATH/COVENTRY
North Carolina Other 7342147 WELLPATH/COVENTRY
North Carolina Other P01266138 WELLPATH/COVENTRY
North Carolina Other 9522709 WELLPATH/COVENTRY
North Carolina MEDICAID NC1835 WELLPATH/COVENTRY

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