MEDICARE: DR. ERFAN ADEL OBEID 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	208600000X	Surgery Physician	EO033088	MI

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

General Provider Information

NPI Number	:	1639149735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERFAN ADEL OBEID M.D.

Provider Business Mailing Address
First Line	:	15841 W WARREN AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3737
Country	:	US
Telephone Number	:	313-584-0018
Fax Number	:	313-584-0158

Provider Business Practice Location Address
First Line	:	15841 W WARREN AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3737
Country	:	US
Telephone Number	:	313-584-0018
Fax Number	:	313-584-0158

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/21/2015

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