# LUIS M VELASCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093770992
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01045543A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 26945 | KY | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 10/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000350600 | ANTHEM / CMA DBA | KY |
| 01 | — | 000052153A | HUMANA / CMA DBA | KY |
| 01 | — | 023334 | SIHO / CMA DBA | KY |
| 01 | — | 1112965 | PASSPORT PCP / CMA DBA | KY |
| 01 | — | 117874 | PASSPORT OB/GYN / CMA DBA | KY |
| 01 | — | 1189995 | CHA / CMA DBA | KY |
| 05 | — | 200005440 | — | IN |
| 01 | — | 2436563000 | PASSORT ADVANTAGE OB/GYN / CMA DBA | KY |
| 01 | — | 2436792000 | PASSPORT ADVANTAGE PCP / CMA DBA | KY |
| 01 | — | 3936751 | CIGNA / CMA DBA | KY |
| 05 | — | 64269459 | — | KY |