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

Mr. Omar Shukri

Individual provider Driver · NPI 1619733557

Mr. Omar Shukri is a Driver in Bloomington, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

1701 American Blvd E Ste 16
Bloomington, MN 55425-1401
Phone: (612) 605-1621
Fax: (612) 605-1631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence W513-266-982-909 (MN)

Record details

NPI number1619733557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address1701 American Blvd E Ste 16, Bloomington, MN 55425-1401

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