Individual
DR. OMAR S OBEIDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD, STE 310, INDIANAPOLIS, IN 46202-1196
(317) 962-2500
(317) 962-2515
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01056864A
IN
207RC0000X
Cardiovascular Disease Physician
MD458745
PA
207RI0011X
Interventional Cardiology Physician
Primary
01056864A
IN
207RI0011X
Interventional Cardiology Physician
MD458745
PA
207UN0901X
Nuclear Cardiology Physician
01056864
IN
207UN0901X
Nuclear Cardiology Physician
MD458745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450740
—
IN
01
—
P01092952
RAILROAD MEDICARE PIN
IN
Enumeration date
02/14/2006
Last updated
08/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us