Provider Demographics
NPI:1083923577
Name:MOBBS, KARL E (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:E
Last Name:MOBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DETROIT AVE
Mailing Address - Street 2:#615
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2444
Mailing Address - Country:US
Mailing Address - Phone:979-255-3090
Mailing Address - Fax:
Practice Address - Street 1:1500 DETROIT AVE
Practice Address - Street 2:#615
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2444
Practice Address - Country:US
Practice Address - Phone:979-255-3090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2008-04242084P0800X
OH35.0986022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry