Healthcare Provider Details

I. General information

NPI: 1720721186
Provider Name (Legal Business Name): OMAR OBAID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ARLINGTON AVE
TOLEDO OH
43614-2598
US

IV. Provider business mailing address

3000 ARLINGTON AVE
TOLEDO OH
43614-2598
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-6462
  • Fax:
Mailing address:
  • Phone: 419-383-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.252559
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: