Omar Al Azzawi

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

318814-906132 Issued in VA

Practice address

276 Colonnade Dr Apt 32
Charlottesville, VA 22903-4964

Phone

(434) 218-8404

Fax

(434) 202-1267

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1972166700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 COLONNADE DR APT 32",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034964",
            "telephone_number": "434-218-8404",
            "fax_number": "434-202-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 COLONNADE DR APT 32",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034964",
            "telephone_number": "434-218-8404",
            "fax_number": "434-202-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL AZZAWI",
        "first_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "318814-906132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiodun Yetunde Akingbemi, MPH, RDN
• Oluwafunmilayo Ifeoluwa Akinlade, MD
• Keerthana Akkisetty, PHARMD
• Bailey R. Aksland, AUD, CCC-A
• Adanna Akujuo, MD
• Mohammed Yousef Al Mulhim, M.D.
• Heba Al Tamimi
• Mooath Omar Al-Jarrah, MBBS
• Ali Kamel Al-Marzoog, MD
• Fatimah Alabdullah

• All providers in Charlottesville, VA
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.