Individual
DR. ISMAEL PADILLA LOPEZ
Active
Individual
DR. ISMAEL PADILLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
92-165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202018555
PRESBYTERIAN
NM
01
—
600521042
GROUP PTAN
NM
01
—
7300534
AETNA
NM
05
—
E4953
—
NM
01
—
NM002M09
BLUECROSS BLUESHIELD
NM
Enumeration date
10/27/2006
Last updated
09/09/2020
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