Provider Demographics
NPI:1770825663
Name:REMON OBEID MD, LLC
Entity Type:Organization
Organization Name:REMON OBEID MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REMON
Authorized Official - Middle Name:
Authorized Official - Last Name:OBEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-773-8775
Mailing Address - Street 1:915 MICHIGAN ST
Mailing Address - Street 2:YAGER BUILDING SUITE 302
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2401
Mailing Address - Country:US
Mailing Address - Phone:937-773-8775
Mailing Address - Fax:937-773-8755
Practice Address - Street 1:915 MICHIGAN ST
Practice Address - Street 2:YAGER BUILDING SUITE 302
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2401
Practice Address - Country:US
Practice Address - Phone:937-773-8775
Practice Address - Fax:937-773-8755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMON OBEID MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.078349207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2204304Medicaid
OH2204304Medicaid
OH4026264Medicare PIN