Individual provider · Type 1 NPI

Omar Shukri

Driver · Bloomington, MN

NPI number 1619733557 Active

Practice location

1701 American Blvd E Ste 16
Bloomington, MN 55425-1401

Fax (612) 605-1631

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XW513-266-982-909 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1619733557

Omar Shukri's National Provider Identifier is 1619733557, issued on Feb 27, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bloomington, MN. The record was last updated on Feb 27, 2024.