Individual
DR. RAUL GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 E 86TH AVE STE Z, MERRILLVILLE, IN 46410-6236
(219) 769-0777
(219) 755-0608
Mailing address
521 E 86TH AVE STE Z, MERRILLVILLE, IN 46410-6236
(219) 769-0777
(219) 755-0608
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
01079609A
IN
2084N0400X
Neurology Physician
01079609A
IN
2084N0400X
Neurology Physician
L5352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN3021011
MEDICARE ID
IN
Enumeration date
01/29/2007
Last updated
04/10/2024
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