Individual provider · Type 1 NPI

Omar Shafi

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1083520753 Active

Practice location

625 Shadow Lane
Las Vegas, NV 89106

Mailing address

125 Augusta St
Henderson, NV 89074-1052

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083520753

Omar Shafi's National Provider Identifier is 1083520753, issued on Aug 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 21, 2026.