Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ikram Omar, PA-C

Individual provider Physician Assistant · NPI 1104659689

Ikram Omar, PA-C is a Physician Assistant in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15020 (MN)

Record details

NPI number1104659689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 21, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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