Individual
RAOUL S CONCEPCION
Active
Individual
RAOUL S CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
37172
KY
208800000X
Urology Physician
Primary
MD17400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108772
BLUE CROSS
TN
05
—
3051346
—
TN
01
—
340013316
RR MEDICARE
TN
05
—
64797269
—
KY
Enumeration date
12/14/2005
Last updated
04/14/2017
Update your record
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