IndividualActive
Khawaja Omar, MD
NPI 1104077312 · Critical Care Medicine (Internal Medicine) Physician · Charleston, WV
Provider details
- NPI number
- 1104077312
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2014027663 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3100 Maccorkle Ave Se Ste 700
Charleston, WV 25304-1230
Phone: (304) 720-7305
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Maccorkle Ave Se Ste 700
Charleston, WV 25304-1230
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.