Provider Demographics
NPI:1699341495
Name:SHAWAF, OMAR (DO, MSC, BSC)
Entity type:Individual
Prefix:MR
First Name:OMAR
Middle Name:
Last Name:SHAWAF
Suffix:
Gender:M
Credentials:DO, MSC, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY AT BUFFALO-PSYCHIATRY, ERIE COUNTY MEDICAL,
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-898-4221
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:UNIVERSITY AT BUFFALO-PSYCHIATRY, ERIE COUNTY MEDICAL,
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-4221
Practice Address - Fax:716-829-3999
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program