Provider Demographics
NPI:1902816218
Name:OBAID, STEPHEN ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ROBERT
Last Name:OBAID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6363 FRANCE AVE S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2129
Mailing Address - Country:US
Mailing Address - Phone:952-920-2070
Mailing Address - Fax:952-920-7444
Practice Address - Street 1:6363 FRANCE AVE S
Practice Address - Street 2:SUITE 400
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2129
Practice Address - Country:US
Practice Address - Phone:952-920-2070
Practice Address - Fax:952-920-7444
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN024824207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN9211617OtherPHP
MN34Q12OBOtherBCBS
MN9080114OtherMEDICA PRIMARY
MN0734005OtherPREFERREDONE
MN21901OtherFHP
WI30682000OtherWISCONSIN MA
MNHP14094OtherHEALTHPARTNERS
WI30682000OtherWISCONSIN MA