Healthcare Provider Details

I. General information

NPI: 1891271193
Provider Name (Legal Business Name): ODAY OBAID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE RM 185
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

7 ALLEGHENY CTR APT 922
PITTSBURGH PA
15212-5215
US

V. Phone/Fax

Practice location:
  • Phone: 412-616-6077
  • Fax:
Mailing address:
  • Phone: 412-616-6077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT215567
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: