Provider Demographics
NPI:1831284132
Name:LOUTFI, CHADI HABIB (MD)
Entity Type:Individual
Prefix:DR
First Name:CHADI
Middle Name:HABIB
Last Name:LOUTFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1601 CLINT MOORE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2768
Mailing Address - Country:US
Mailing Address - Phone:561-939-0200
Mailing Address - Fax:561-939-0271
Practice Address - Street 1:1601 CLINT MOORE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2768
Practice Address - Country:US
Practice Address - Phone:561-939-0200
Practice Address - Fax:561-939-0271
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35082890207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AT795ZMedicare PIN