Healthcare Provider Details

I. General information

NPI: 1730742735
Provider Name (Legal Business Name): MARY-JO OBEID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date: 12/04/2019
Reactivation Date: 12/11/2019

III. Provider practice location address

2301 ERWIN ROAD
DURHAM NC
27705
US

IV. Provider business mailing address

307 54TH AVE N UNIT A
NASHVILLE TN
37209-3317
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 215-713-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number75464
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: