Omar Shami, D.O.
Individual provider Active NPI Family Medicine Physician · Ft Greggadams, VA
NPI 1972808392 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1972808392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 64271 (GA)
- Practice address
- 700 24TH St
Ft Greggadams, VA 23801-1716 - Phone
- (804) 734-9600
- Fax
- (877) 874-1008
- NPI assigned
- Jan 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64271 | GA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64271 | GA | Yes |
Addresses
Primary practice location
700 24TH St
Ft Greggadams, VA 23801-1716
Mailing address
700 24TH St
Ft Greggadams, VA 23801-1716
Phone (804) 734-9600
Other providers in Ft Greggadams, VA
- Juliana Alvarez
- Kristin Edwards
- Dawn Annette Garcia
- Elizabeth H. Hopewell
- Rebecca Lynne Jones
- Steven L White
All providers in Ft Greggadams, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.