Provider Demographics
NPI:1801983432
Name:OBAID, RAJAIE A (MD)
Entity type:Individual
Prefix:
First Name:RAJAIE
Middle Name:A
Last Name:OBAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47547-1028
Mailing Address - Country:US
Mailing Address - Phone:812-481-8493
Mailing Address - Fax:812-481-8497
Practice Address - Street 1:721 W 13TH ST
Practice Address - Street 2:SUITE #221
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-1855
Practice Address - Country:US
Practice Address - Phone:812-481-5781
Practice Address - Fax:812-481-0150
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01060937A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00228929OtherRAILROAD MEDICARE
IN137600CCMedicare PIN
INI37775Medicare UPIN