Provider Demographics
NPI:1245445162
Name:WOHAIBI, EYAD M (MD)
Entity type:Individual
Prefix:DR
First Name:EYAD
Middle Name:M
Last Name:WOHAIBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2150 WEHRLE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7099
Mailing Address - Country:US
Mailing Address - Phone:716-453-5200
Mailing Address - Fax:716-710-8075
Practice Address - Street 1:2150 WEHRLE DR STE 300
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7099
Practice Address - Country:US
Practice Address - Phone:716-453-5200
Practice Address - Fax:716-710-8075
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY257881-1208600000X
MI876279152083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03244722Medicaid
NY03244722Medicaid