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Individual
MINA F OBBEHAT
Active
Individual
MINA F OBBEHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD430768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
TPI PA MEDICAID GROUP
PA
01
—
597586
TPI GROUP MEDICARE
PA
01
—
CD4829
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
08/20/2006
Last updated
10/30/2013
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