Individual
HABIBEH GITIFOROOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 BELLE AVE, SUITE 300, LAKEWOOD, OH 44107-4202
(216) 529-2913
(216) 529-2936
Mailing address
1450 BELLE AVE, SUITE 300, LAKEWOOD, OH 44107-4202
(216) 529-2913
(216) 529-2936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35078025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362095
ANTHEM BC/BS
OH
05
—
2229127
—
OH
01
—
341542312111
CARESOURCE
OH
01
—
351252
WELLCARE
OH
01
—
737243
BCHP
OH
01
—
P00315481
RRCARE
OH
Enumeration date
05/17/2006
Last updated
01/13/2009
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