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NPI Code Detail

MEDICARE: KAREN WIEDEMANN ELDIN MD

MEDICARE: KAREN WIEDEMANN ELDIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianM1085TX
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician293660MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043266901
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN WIEDEMANN ELDIN MD
Provider Business Mailing Address
First Line : PO BOX 741169
Second Line :
City : HOUSTON
State : TX
Zip : 77274-1169
Country : US
Telephone Number : 832-824-1866
Fax Number : 832-825-1032
Provider Business Practice Location Address
First Line : 81 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2768
Country : US
Telephone Number : 978-354-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 03/03/2023

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