MEDICARE: SUHAIL M OBAJI 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
1	207RX0202X	Medical Oncology Physician	E-0595	AR
2	207RX0202X	Medical Oncology Physician	20435	TN
3	207RX0202X	Medical Oncology Physician	13747	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1548268592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHAIL M OBAJI M.D.

Provider Business Mailing Address
First Line	:	965 RIDGE LAKE BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9401
Country	:	US
Telephone Number	:	901-227-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HWY 30 W
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-3112
Country	:	US
Telephone Number	:	662-538-2535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	12/07/2023

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Directions to “ SUHAIL M OBAJI M.D.” Practice Location

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