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NPI Code Detail

MEDICARE: KARIM HABIB LOPEZ M.D

MEDICARE: KARIM HABIB LOPEZ 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
1207Q00000XFamily Medicine Physician35066514LOH

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 : 1659374841
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIM HABIB LOPEZ M.D
Provider Business Mailing Address
First Line : 4229 PEARL ROAD
Second Line : 2ND FLOOR
City : CLEVELAND
State : OH
Zip : 44109
Country : US
Telephone Number : 216-957-3526
Fax Number : 216-957-2930
Provider Business Practice Location Address
First Line : 4229 PEARL RD
Second Line : 2ND FLOOR
City : CLEVELAND
State : OH
Zip : 44109-4218
Country : US
Telephone Number : 216-957-3526
Fax Number : 216-957-2930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/25/2008

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