Abdurraqeeb, Obaydah Ahmad
Abdurraqeeb, Obaydah Ahmad is an individual health care provider with primary practice located at 17 Silver Palm Ave , Melbourne FL 32901-3123. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Abdurraqeeb, Obaydah Ahmad can be contacted via phone (321) 733-2021.Contact Information
Primary practice address
17 Silver Palm Ave
Melbourne FL 32901-3123
Phone: (321) 733-2021
Fax: (321) 727-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO2182 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS11259 | Florida |
Profile Details
| NPI number | 1316101264 |
|---|---|
| LBN Legal business name | Abdurraqeeb, Obaydah Ahmad |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Aug 28th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316101264 | NPPES |
| Tennessee | MEDICAID | 1524832 | |
| Tennessee | Other | 3373352 | |
| Tennessee | Other | 3373352 | |
| Tennessee | Other | OS11259 |
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