Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OSAMA AL DEYABAT, MBBS
ActiveOSAMA AL DEYABAT, MBBS is a 207WX0110X healthcare provider located in PEORIA, Illinois. NPI 1174255053 is currently active in the NPPES registry. Verify at CMS.
207WX0110X · PEORIA, IL
Registration Details
- NPI Number
- 1174255053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2022 (4.0883506340296 yrs)
- Last Updated
- Sep 23, 2024
- Licenses
-
036171176 (IL)036171176 (IL)036171176 (IL)
Practice Information
- Address
-
4927 N GLEN PARK PLACE RDPEORIA, IL, 616144676Browse IL providers · Browse ZIP 61614
- Phone
- 3093083500
- Primary Specialty
-
207WX0110X
207WX0110X
- Additional Specialty
- 207WX0109X
- Additional Specialty
- 207WX0110X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.