Shakir, Omar Razzaque

Shakir, Omar Razzaque is an individual health care provider with primary practice located at 600 W Putnam Ave Lowr Level , Greenwich CT 06830-6080. 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. Shakir, Omar Razzaque can be contacted via phone (321) 960-2664.

Contact Information

Primary practice address
600 W Putnam Ave Lowr Level Greenwich CT 06830-6080
Phone: (321) 960-2664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 291443 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 291443 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 55031 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 55031 Connecticut

Profile Details

NPI number 1689934127
LBN Legal business name Shakir, Omar Razzaque
Credentials MD MBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Jan 20th, 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 1689934127 NPPES
Connecticut MEDICAID 008082958

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