Individual provider · NPI-1

Mohammad Osama Al Bataineh, MD

Family Medicine, Geriatric Medicine · Columbia, MO

NPI number1235700659
StatusActive
Last updated in NPPESJun 26, 2024

Details

NPI
1235700659
Entity type
Individual (NPI-1)
Name
Mohammad Osama Al Bataineh
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2021
Certification date
Jun 26, 2024
Last updated
Jun 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric Medicine2024015821MOYes
207R00000X Internal Medicine2021019869MO

Practice location

1 Hospital Dr
Columbia, MO 65212-1000

Phone 573-884-7060

Mailing address

1 Hospital Dr
Columbia, MO 65212-1000

Phone 573-884-7060

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