Individual
DR. MARK PAUL CARUSO
Active
Individual
DR. MARK PAUL CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26513
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049250
ANTHEM BC BS
KY
01
—
018956500
US DEPT. OF LABOR
KY
01
—
11026000
RR MEDICARE UHC
KY
05
—
64265135
—
KY
Enumeration date
11/07/2006
Last updated
06/20/2013
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