Fadi Abou Obeid, MD
Internal Medicine, Clinical Cardiac Electrophysiology in Carbondale, IL. Individual provider (NPI-1).
NPI number1811304751
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1811304751
- Entity type
- Individual (NPI-1)
- Name
- Fadi Abou Obeid
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2014
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 036.142760 | IL | Yes |
| 207R00000X | Internal Medicine | 125.065268 | IL | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 036.142760 | IL | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | 036142760 | IL |
Practice location
409 W Oak StCarbondale, IL 62901-1464
Phone 618-529-4455 · Fax 618-351-1287
Mailing address
409 W Oak StCarbondale, IL 62901-1464
Phone 618-529-4455
Other practice locations
3905 W Ernestine Dr
Marion, IL 62959-5800
Marion, IL 62959-5800
Phone 618-529-4455 · Fax 618-351-1287
217 S Park Ave Ste 2
Herrin, IL 62948-3611
Herrin, IL 62948-3611
Phone 618-529-4455 · Fax 618-351-1287
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