Individual
SHADI FALAH OBEIDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1602
(606) 430-3500
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44193
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
44193
KY
207RP1001X
Pulmonary Disease Physician
Primary
44193
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100171020
—
KY
Enumeration date
05/10/2007
Last updated
05/23/2024
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