Provider Demographics
NPI:1205229903
Name:HJ OBEID MD PLLC
Entity type:Organization
Organization Name:HJ OBEID MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OBEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-336-8302
Mailing Address - Street 1:110 E. CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2866
Mailing Address - Country:US
Mailing Address - Phone:315-336-8302
Mailing Address - Fax:315-339-0958
Practice Address - Street 1:110 E. CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2866
Practice Address - Country:US
Practice Address - Phone:315-336-8302
Practice Address - Fax:315-339-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty