Omar Khaled Shahin, is a
Student In An Organized Health Care Education/training Program physician based in Riverside, California. Omar Khaled Shahin is licensed to practice in * (Not Available) (license number ) and his current practice location is 4445 Magnolia Ave, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 788-3274.
NPI number for Omar Khaled Shahin is 1205464807 and his current mailing address is 4445 Magnolia Ave, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205464807.
Physician's Profile
| Full Name | Omar Khaled Shahin |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4445 Magnolia Ave, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205464807
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 11/13/2025
Medical Identifiers
Medical identifiers for Omar Khaled Shahin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205464807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 05485 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omar Khaled Shahin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Omar Khaled Shahin,
4445 Magnolia Ave,
Riverside, CA 92501-4135
Ph: () - | Omar Khaled Shahin,
4445 Magnolia Ave,
Riverside, CA 92501-4135
Ph: (951) 788-3274 |
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