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Individual
DR. CHRISTIAN HUMBERTO CAICEDO
Active
Individual
DR. CHRISTIAN HUMBERTO CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD422025
PA
207Q00000X
Family Medicine Physician
MD422025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001523122
HIGHMARK BCBS
PA
05
—
100819690
—
PA
05
—
1008196900001
—
PA
05
—
1008196900003
—
PA
01
—
145886
UNISON
PA
01
—
1533717
GATEWAY
PA
01
—
30024882
KEYSTONE
PA
01
—
50034081
CAPITAL BCBS
PA
01
—
83232
GEISINGER
PA
Enumeration date
11/15/2005
Last updated
01/16/2021
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