Healthcare Provider Details

I. General information

NPI: 1548251663
Provider Name (Legal Business Name): HAMID JOSEPH OBEID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E CHESTNUT ST
ROME NY
13440-2866
US

IV. Provider business mailing address

110 E CHESTNUT ST
ROME NY
13440-2866
US

V. Phone/Fax

Practice location:
  • Phone: 315-336-8302
  • Fax: 315-339-0958
Mailing address:
  • Phone: 315-336-8302
  • Fax: 315-339-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number227019-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: