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General NPI Number Information
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NPI Number | 1902426455
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Entity Type | Individual
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Provider Name | ASEF OBAID
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Gender | Male
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4605 MACCORKLE AVE SW
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1311
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Country | US
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Telephone | 304-766-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 138 CAMDEN CIR APT 208
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City | SCOTT DEPOT
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State | WV
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Zip | 25560-6015
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Country | US
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Telephone | 321-527-9067
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 33839
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License Number State | WV
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