Jazaeri, Omid
Jazaeri, Omid is an individual health care provider with primary practice located at 825 Ne 10Th St , Oklahoma City OK 73104-5417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jazaeri, Omid can be contacted via phone (572) 244-0074.Contact Information
Primary practice address
825 Ne 10Th St
Oklahoma City OK 73104-5417
Phone: (572) 244-0074
Fax: (572) 244-9882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 48825 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 47771 | Oklahoma |
Profile Details
| NPI number | 1437322898 |
|---|---|
| LBN Legal business name | Jazaeri, Omid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Jun 19th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437322898 | NPPES |
| Colorado | MEDICAID | 16689348 |
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