Healthcare Provider Details

I. General information

NPI: 1265570352
Provider Name (Legal Business Name): CLAUDE P HOBEIKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6527 COLERAIN AVE
CINCINNATI OH
45239
US

IV. Provider business mailing address

10144 SPIRITKNOLL LANE
CINCINNATI OH
45252
US

V. Phone/Fax

Practice location:
  • Phone: 513-385-5000
  • Fax: 513-245-5462
Mailing address:
  • Phone: 513-385-5000
  • Fax: 513-245-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOH35031279H
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberIN01026640
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: