Individual provider · Type 1 NPI

Omar Khaled Shahin

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1205464807 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Call (951) 788-3274 Map

Other practice locations

  • 250 Park St, Bowling Green, KY 42101-1760 · (270) 796-6540

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X05485 (KY)
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 1205464807

Omar Khaled Shahin's National Provider Identifier is 1205464807, issued on Mar 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Nov 13, 2025.