Active NPI
Suleiman Moh'D Amjad Suleiman Obeidat, MBBCH BAO
- Student in an Organized Health Care Education/Training Program
- Hartford, CT
National Provider Identifier
1508795329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1000 Asylum Avenue
Suite 1004, St Francis Hospital Gengras Ambulatory Care
Hartford, CT 06105 - Phone
- (860) 224-5261
- NPI assigned
- May 18, 2026
- Last updated
- May 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1000 Asylum Avenue
Suite 1004, St Francis Hospital Gengras Ambulatory Care
Hartford, CT 06105
Mailing address
263 Farmington Avenue
Graduate Medical Education Office Uconn Health
Farmington, CT 06030-1921
Phone (860) 679-2147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1508795329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"address_2": "GRADUATE MEDICAL EDUCATION OFFICE UCONN HEALTH",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301921",
"telephone_number": "860-679-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVENUE",
"address_2": "SUITE 1004, ST FRANCIS HOSPITAL GENGRAS AMBULATORY CARE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06105",
"telephone_number": "860-224-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEIDAT",
"first_name": "SULEIMAN",
"middle_name": "MOH'D AMJAD SULEIMAN",
"credential": "MBBCH BAO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.