Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 12275 | MD |
NPI | 1063633717 |
---|---|
Provider Name | Dr. Youssef Obeid |
First Address | Chevy Chase, MD 20815-5838 |
Second Address | Chevy Chase, MD 20815-5838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 10/10/2017 |