Individual
FADI ABOU OBEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Mailing address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.065268
IL
207RC0000X
Cardiovascular Disease Physician
036.142760
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.142760
IL
207RI0011X
Interventional Cardiology Physician
036142760
IL
Other
Enumeration date
07/11/2014
Last updated
06/19/2023
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