Individual
DR. RAUL JOHN SEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, DESK A-11, CLEVELAND, OH 44195-0001
(216) 444-1760
Mailing address
9500 EUCLID AVE, DESK A-11, CLEVELAND, OH 44195-0001
(216) 444-1760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827378
—
OH
Enumeration date
02/24/2006
Last updated
09/30/2011
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