Basic Information
Provider Information
NPI: 1902390743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEHBI
FirstName: RAMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26 QUEEN ST
Address2:  
City: WORCESTER
State: MA
PostalCode: 016102473
CountryCode: US
TelephoneNumber: 5088601100
FaxNumber: 5088607865
Practice Location
Address1: 1203 S WAYNE RD
Address2:  
City: WESTLAND
State: MI
PostalCode: 481864362
CountryCode: US
TelephoneNumber: 3134857882
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2018
LastUpdateDate: 09/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X5101025989MIY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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