Healthcare Provider Details

I. General information

NPI: 1174440143
Provider Name (Legal Business Name): VAIBHAV OBEROI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
COLUMBIA MO
65212-1000
US

IV. Provider business mailing address

1315 ASHLAND RD APT K
COLUMBIA MO
65201-8210
US

V. Phone/Fax

Practice location:
  • Phone: 573-941-0146
  • Fax:
Mailing address:
  • Phone: 573-941-0146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2026030723
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: