OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. - NPI 1619037918 - Obstetrics & Gynecology in Eau Claire, WI

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VX0000X and a focus in Obstetrics.

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About Obstetrics Gynecology Clinic Of Eau Claire, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. (NPI 1619037918) is a healthcare organization registered as an obstetrics in Eau Claire, Wisconsin and active in the NPI registry since December 2006. The organization lists Irfane M. Khatib, President, as its authorized official.

NPPES Registry Identity

NPI1619037918

Entity TypeOrganization

Primary Taxonomy207VX0000X

Legal Business NameOBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.

Location Address1110 OAK RIDGE DREau Claire, WI 54701-6133

Mailing Address1110 Oak Ridge DrEau Claire, WI 54701-6133 · (715) 836-9020 · Fax (715) 834-9833

Phone(715) 836-9020

Fax(715) 834-9833

Organization SubpartNo

Authorized OfficialIrfane M. KhatibPresident · (715) 836-9020

Enumeration DateDecember 10, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1619037918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

1110 OAK RIDGE DR, Eau Claire, WI 54701

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Other Identifiers 1

Medicaid31066700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP