Individual
CAROL I TEITLEBAUM
Active
Individual
CAROL I TEITLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35033744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141216
ANTHEM
OH
01
—
000000251089
ANTHEM
MI
01
—
01173
PHC
OH
01
—
0308296
BCMH
OH
05
—
0308296
—
OH
01
—
0635403
AETNA
OH
01
—
10724
HPM
OH
01
—
12-03672
UHC
MI
01
—
12-20678
UHC
OH
01
—
4263159
AETNA
MI
Enumeration date
08/25/2005
Last updated
07/13/2026
Update your record
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