Provider Demographics
NPI:1265570352
Name:HOBEIKA, CLAUDE P (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:P
Last Name:HOBEIKA
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 1:10144 SPIRITKNOLL LANE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45252
Mailing Address - Country:US
Mailing Address - Phone:513-385-5000
Mailing Address - Fax:513-245-5462
Practice Address - Street 1:6527 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239
Practice Address - Country:US
Practice Address - Phone:513-385-5000
Practice Address - Fax:513-245-5462
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35031279H174400000X
ININ01026640174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0095481Medicaid
OHH00149834Medicare ID - Type UnspecifiedMEDICARE
IN172180AMedicare ID - Type Unspecified
OHA73336Medicare UPIN