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

Omar Abdel Razzaq

Individual provider Nurse Practitioner · NPI 1174300396

Omar Abdel Razzaq is a Nurse Practitioner in Midlothian, Virginia. Qualified in 2022, 4 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023

Practice location Address checks out

14404 Sommerville Ct
Midlothian, VA 23113-6835
Phone: (804) 378-1800
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024187844 (VA)

Record details

NPI number1174300396
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midlothian