person
Jorge Ivan Lopez, MD
Neurology with Special Qualifications in Child Neurology Physician in Huntington, West Virginia
NPI 1982652657

Jorge Ivan Lopez is a Neurology with Special Qualifications in Child Neurology Physician based in Huntington, WV and is specialized in Neurology with Special Qualifications in Child Neurology. Jorge Ivan Lopez practices in Huntington, WV and has the professional credentials of MD. The NPI Number for Jorge Ivan Lopez is 1982652657 and holds a License No. 17440 (West Virginia).

The current practice location address for Jorge Ivan Lopez is 1600 Medical Center Dr Ste B500, Huntington, WV and can be reached out via phone at 304-691-1787. You can also correspond with Jorge Ivan Lopez through the mailing address at 1600 MEDICAL CENTER DR STE B500, HUNTINGTON, WV - 25701-3655 (mailing address contact number: 304-691-1787).

Location: 1600 Medical Center Dr Ste B500, Huntington, WV, 25701-3655
person
Provider Profile Details
NPI Number
1982652657
Provider Name
Jorge Ivan Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Medical Center Dr Ste B500, Huntington, WV, 25701-3655
Phone Number
304-691-1787
Fax Number
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051596437 01 AL BCBS
051596435 01 AL BCBS
107325 05 AL
107326 05 AL
051113410 01 AL BCBS
125428 05 AL
P00720170 01 AL RAILROAD MEDICARE
051596439 01 AL BCBS
107327 05 AL
institution
Provider Business Practice Location Address Details
Address
1600 Medical Center Dr Ste B500
City
State
Zip
25701-3655
Phone Number
304-691-1787
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Medical Center Dr Ste B500
City
State
Zip
25701-3655
Phone Number
304-691-1787
Fax Number
304-691-8711
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
28628 (West Virginia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
17440 (Alabama)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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