Individual
DR. BAHA MOHAMMED TALEB OBAIDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3504 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3600
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD195613
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD195613
OR
207RP1001X
Pulmonary Disease Physician
Primary
01095229A
IN
207RP1001X
Pulmonary Disease Physician
MD195613
OR
Other
Enumeration date
06/15/2014
Last updated
06/04/2025
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