Provider Demographics
NPI:1053517904
Name:MINHAS, OMAR SAJJAD (MD)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:SAJJAD
Last Name:MINHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-2010
Practice Address - Street 1:1575 BANNISTER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-812-2000
Practice Address - Fax:717-851-2010
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2024-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD432016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20066823OtherAMERIHEALTH MERCY-WMG
PA211724OtherJOHNS HOPKINS
PA259835OtherUNISON-WMG CFA
PA2857463000OtherAMERIHEALTH 65 PA
PA223432OtherUNISON-WMG
PA101974664Medicaid
PAP008484OtherGATEWAY-WMG
PA2169800OtherMAMSI-WMG
PA1979747OtherHIGHMARK BLUE SHIELD
MD906892OtherCAREFIRST MD MCBS
PA50071590OtherCAPITAL BLUE CROSS-WMG
PA110594OtherGEISINGER
PA50083198OtherCAPITAL BLUE CROSS-WMG CFA
PA9680079OtherAETNA
PA2169800OtherMAMSI-WMG