Individual
MIGUEL RAUL ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11595 BRAEMAR CT, CARMEL, IN 46032-8604
(317) 555-5555
Mailing address
11595 BRAEMAR CT, CARMEL, IN 46032-8604
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01056218A
IN
208M00000X
Hospitalist Physician
Primary
01056218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819335
CAQH
IN
05
—
200884010
—
IN
01
—
P01824435
RR PTAN
IN
Enumeration date
09/26/2006
Last updated
02/09/2026
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