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Individual
CUSTODIO A. GARRIDO
Active
Individual
CUSTODIO A. GARRIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041472A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175779
ANTHEM
IN
01
—
000000183201
ANTHEM
IN
01
—
000000570547
ANTHEM
IN
01
—
00001336580 02
UNITED HEALTHCARE
—
01
—
080130069
RAILROAD MEDICARE
IN
05
—
100381020
—
IN
01
—
2822
PHYSICIANS HEALTH PLAN
IN
01
—
3937240017
MEDICARE DMEPOS
IN
01
—
4556205
AETNA
—
Enumeration date
12/08/2005
Last updated
03/24/2016
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