Provider Demographics
NPI:1669117479
Name:AL OBAIDI MD LLC
Entity type:Organization
Organization Name:AL OBAIDI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAWAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:AL OBAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-855-6138
Mailing Address - Street 1:707 HARMON COVE TOWER
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-1709
Mailing Address - Country:US
Mailing Address - Phone:513-333-3686
Mailing Address - Fax:201-325-6701
Practice Address - Street 1:55 MEADOWLANDS PKWY FL 3
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2977
Practice Address - Country:US
Practice Address - Phone:551-333-3686
Practice Address - Fax:201-325-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty