Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 5427 | SD |
NPI | 1013936517 |
---|---|
Provider Name | Wael E Eid |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Covington, KY 41011-0801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 13/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0061902 | (05) | OH |
6005072 | (05) | SD |
6005073 | (05) | SD |
7100194110 | (05) | KY |