Individual
WAEL E EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, SUITE 301, COVINGTON, KY 41011-0801
(859) 655-8910
(859) 655-8911
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-8910
(859) 655-8911
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5427
SD
208M00000X
Hospitalist Physician
5427
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061902
—
OH
05
—
6005072
—
SD
05
—
6005073
—
SD
05
—
7100194110
—
KY
Enumeration date
07/18/2006
Last updated
09/13/2018
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