MEDICARE: DR. EYAD M WOHAIBI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	257881-1	NY
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	87627915	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245445162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EYAD M WOHAIBI MD

Provider Business Mailing Address
First Line	:	2150 WEHRLE DR STE 300
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-453-5200
Fax Number	:	716-710-8075

Provider Business Practice Location Address
First Line	:	2150 WEHRLE DR STE 300
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-453-5200
Fax Number	:	716-710-8075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	03/14/2022

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