Heredia, Raul

Heredia, Raul is an individual health care provider with primary practice located at 1002 Leawood Dr , Frankfort KY 40601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Heredia, Raul can be contacted via phone (502) 227-7188.

Contact Information

Primary practice address
1002 Leawood Dr Frankfort KY 40601
Phone: (502) 227-7188
Fax: (502) 227-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35532 Kentucky

Profile Details

NPI number 1366408213
LBN Legal business name Heredia, Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366408213 NPPES
Kentucky Other 0939806 ALTERNATE MEDICARE PIN
Kentucky MEDICAID 64027345 ALTERNATE MEDICARE PIN

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