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NPI Code Detail

MEDICARE: DR. BARRY S OBADIAH M.D.

MEDICARE:  DR. BARRY S OBADIAH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician199214NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447256508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY S OBADIAH M.D.
Provider Business Mailing Address
First Line : 2318 31ST ST
Second Line :
City : ASTORIA
State : NY
Zip : 11105-2892
Country : US
Telephone Number : 718-932-6000
Fax Number : 718-932-3194
Provider Business Practice Location Address
First Line : 2318 31ST ST
Second Line :
City : ASTORIA
State : NY
Zip : 11105-2892
Country : US
Telephone Number : 718-932-6000
Fax Number : 718-932-3194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 03/27/2014

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Directions to “ DR. BARRY S OBADIAH M.D.” Practice Location

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