Individual
RAOUL S CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 WHITE BRIDGE RD, SUITE 200, NASHVILLE, TN 37205-1499
(615) 290-0622
Mailing address
28 WHITE BRIDGE RD, SUITE 200, NASHVILLE, TN 37205-1499
(615) 290-0622
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
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