Individual
DR. VINCENT J OBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
6201 GREENLEIGH AVE DEPT OF, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-088664
OH
208600000X
Surgery Physician
D94365
MD
208C00000X
Colon & Rectal Surgery Physician
35-088664
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
MD037351
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221424
UNISON
OH
01
—
000000503703
ANTHEM
—
05
—
2713291
—
OH
01
—
363886
WELLCARE
OH
01
—
7309844
AETNA
—
01
—
745044
BUCKEYE
OH
01
—
P00372965
RAILROAD MEDICARE
OH
Enumeration date
09/28/2006
Last updated
01/30/2024
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