Provider Demographics
NPI:1043298151
Name:OBID, HIND (MD)
Entity Type:Individual
Prefix:DR
First Name:HIND
Middle Name:
Last Name:OBID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3928
Mailing Address - Country:US
Mailing Address - Phone:850-785-0699
Mailing Address - Fax:850-872-9899
Practice Address - Street 1:951 W 23RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3928
Practice Address - Country:US
Practice Address - Phone:850-785-0699
Practice Address - Fax:850-872-9899
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48601207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043592900Medicaid
FL01428Medicare ID - Type Unspecified
50136Medicare UPIN