Individual
ROBERT R LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15248
AL
2085R0202X
Diagnostic Radiology Physician
Primary
2010-01485
NC
2085R0202X
Diagnostic Radiology Physician
34298
SC
2085R0202X
Diagnostic Radiology Physician
ME 81876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00124597
MISSISSIPPI MEDICAID
MS
01
—
010033CE45008
SECTION 1011
AL
01
—
051512217
BLUE CROSS
AL
01
—
300071214
RAILROAD MEDICARE
AL
05
—
5915220
—
NC
01
—
E45008
VIVA
AL
05
—
NC1203
—
SC
Enumeration date
07/03/2006
Last updated
12/20/2017
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