Wael Mohammad Otaibi in Springfield - Surgery
Wael Mohammad Otaibi - NPI 1255452124
Wael Mohammad Otaibi is a Surgery in Springfield, Illinois. Wael Mohammad Otaibi practices all healthcare services and medical treatments related to Surgery. The NPI Number for Wael Mohammad Otaibi is 1255452124. The last update date is 2019-11-15.
Wael Mohammad Otaibi's current location address is 3051 Hollis Dr Fl 2, Springfield, Illinois. You can contact this provider via phone number 2175235432 and fax number 2174929643. The mailing address for Wael Mohammad Otaibi is 3051 Hollis Dr Fl 2, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wael Mohammad Otaibi |
|---|---|
| Address | 3051 Hollis Dr Fl 2, Springfield, Illinois |
| Phone Number | 2175235432 |
| Fax Number | 2174929643 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1255452124 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2019-11-15 |
Provider Mailing Address Detail
| Address | 3051 Hollis Dr Fl 2 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047452 |
| Phone Number | 2175235432 |
| Fax Number | 2174929643 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 254927 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the unique 10-digit identification code assigned to Wael Mohammad Otaibi by the Centers for Medicare & Medicaid Services?
The Wael Mohammad Otaibi has been issued the NPI (National Provider Identifier) 1255452124, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wael Mohammad Otaibi located?
The Wael Mohammad Otaibi is located at 3051 Hollis Dr Fl 2, Springfield, IL 627047452.
What is the Wael Mohammad Otaibi's specialty and taxonomy code?
The Wael Mohammad Otaibi's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did Wael Mohammad Otaibi receive its 1255452124 assignment?
The Wael Mohammad Otaibi was assigned its 1255452124 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Wael Mohammad Otaibi most recently updated or revised?
The details related to Wael Mohammad Otaibi, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-15.