Provider Demographics
NPI:1902866601
Name:OBENG, FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:OBENG
Suffix:
Gender:M
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:PO BOX 77188
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28271-7004
Mailing Address - Country:US
Mailing Address - Phone:704-588-9997
Mailing Address - Fax:704-588-9499
Practice Address - Street 1:2540 W ARROWOOD RD STE 110
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273
Practice Address - Country:US
Practice Address - Phone:704-588-9997
Practice Address - Fax:704-588-9499
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13155OtherBCBS
NCP00275272OtherRAILROAD MEDICARE
NC8913155Medicaid
NC2020729GMedicare PIN
NC2020729HMedicare PIN
NCP00275272OtherRAILROAD MEDICARE
NCH94905Medicare UPIN
NC13155OtherBCBS