Individual
DR. GEORGE C KOBERLEIN
Active
Individual
DR. GEORGE C KOBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.120906
OH
2085R0202X
Diagnostic Radiology Physician
2014-00570
NC
2085R0202X
Diagnostic Radiology Physician
35.120906
OH
2085R0202X
Diagnostic Radiology Physician
4301092934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205090917
TRICARE
NC
01
—
1205090917
VIRGINIA MEDICAID
VA
05
—
1205090917
—
NC
01
—
1868W
BCBS
NC
01
—
281983
MEDCOST
NC
01
—
4105367
AETNA
NC
01
—
5114457
UNITED HEALTHCARE
NC
01
—
Q70014
SC MEDICAID
SC
Enumeration date
07/11/2008
Last updated
07/11/2018
Update your record
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