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General NPI Number Information
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NPI Number | 1598992208
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Entity Type | Individual
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Provider Name | ISI OBADAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2009
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-367-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LINCOLN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6358
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Country | US
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Telephone | 617-595-2788
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 84179
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36450
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 241266
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 84179
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 84179
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License Number State | GA
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