MEDICARE: LATIFA OBAIDI 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
1	207Q00000X	Family Medicine Physician	S9573	TX

General Provider Information

NPI Number	:	1780246843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATIFA OBAIDI DO

Provider Business Mailing Address
First Line	:	5291 W UNIVERSITY DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5291 W UNIVERSITY DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7093
Country	:	US
Telephone Number	:	972-542-8464
Fax Number	:

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

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	08/03/2022

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