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NPI Code Detail

MEDICARE: FABIO OCHOA, M.D

MEDICARE: FABIO OCHOA, M.D
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
1207RR0500XRheumatology Physician35-03-4629OH

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 : 1164550794
Entity Type Code : Organization
Provider Name (Legal Business Name) : FABIO OCHOA, M.D
Provider Business Mailing Address
First Line : 1716 NORTH RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-2907
Country : US
Telephone Number : 330-399-9776
Fax Number : 330-399-8665
Provider Business Practice Location Address
First Line : 1716 NORTH RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-2907
Country : US
Telephone Number : 330-399-9776
Fax Number : 330-399-8665
Authorized Official
Title or Position : OWNER
Name : DR. FABIO V OCHOA
Credential : M.D.
Telephone Number : 330-399-9776
Provider Enumeration Date : 03/02/2007
Last Update Date : 10/23/2012

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