Provider Demographics
NPI:1700026556
Name:ABU OBAID, SABREEN O (MD)
Entity Type:Individual
Prefix:
First Name:SABREEN
Middle Name:O
Last Name:ABU OBAID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SABREEN
Other - Middle Name:OMAR
Other - Last Name:ABU OBAID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3555 OLENTANGY RIVER RD
Mailing Address - Street 2:STE 1080
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3984
Mailing Address - Country:US
Mailing Address - Phone:614-268-8164
Mailing Address - Fax:614-268-8406
Practice Address - Street 1:3555 OLENTANGY RIVER RD
Practice Address - Street 2:STE 1080
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3984
Practice Address - Country:US
Practice Address - Phone:614-268-8164
Practice Address - Fax:614-268-8406
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.098173207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0056908Medicaid
OHH049483Medicare PIN