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NPI Code Detail

MEDICARE: OBAIDA DAIRI DO

MEDICARE: OBAIDA DAIRI DO
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
1207R00000XInternal Medicine Physician207R00000XNH
2207RG0100XGastroenterology Physician036-178870IL

General Provider Information

NPI Number : 1679033815
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBAIDA DAIRI DO
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : LEBANON
State : NH
Zip : 03756-1000
Country : US
Telephone Number : 603-650-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 06/18/2026

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Directions to “ OBAIDA DAIRI DO” Practice Location

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