Provider Demographics
NPI:1558717041
Name:OBEID, LAMA (MD)
Entity Type:Individual
Prefix:MS
First Name:LAMA
Middle Name:
Last Name:OBEID
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 1:508 EAST 78TH ST
Mailing Address - Street 2:APT 3N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:916-861-2577
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST # F-734
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:917-861-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2022-09-19
Deactivation Date:2017-01-20
Deactivation Code:
Reactivation Date:2022-09-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program