Provider Demographics
NPI:1598960833
Name:WOMENS OB GYN CARE LLC
Entity Type:Organization
Organization Name:WOMENS OB GYN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:WAHIB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-779-3901
Mailing Address - Street 1:1570 S CANFIELD NILES RD
Mailing Address - Street 2:BLDG A SUITE 102
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-4077
Mailing Address - Country:US
Mailing Address - Phone:330-779-3901
Mailing Address - Fax:330-779-0065
Practice Address - Street 1:1570 S CANFIELD NILES RD
Practice Address - Street 2:BLDG A SUITE 102
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-4077
Practice Address - Country:US
Practice Address - Phone:330-779-3901
Practice Address - Fax:330-779-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare ID - Type Unspecified
OHH09079Medicare UPIN