OMID SHAFAAT MD
NPI 1124778063
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 24, 2022
3400 SPRUCE ST, PHILADELPHIA, PA 19104(267) 331-0953 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omid Shafaat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMID SHAFAAT MD (NPI 1124778063) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1124778063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMID SHAFAATCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-6156
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1124778063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omid Shafaat's NPI number?

The NPI number for Omid Shafaat is 1124778063. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Omid Shafaat located?

Omid Shafaat practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 331-0953.

What is Omid Shafaat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Omid Shafaat was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.