Individual
LUIS DAVID VELASCO
Active
Individual
LUIS DAVID VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110168797
RR MEDICARE
NC
05
—
1447284831
—
NC
01
—
84899
BC BS NC
NC
05
—
8984899
—
NC
05
—
N31673
—
SC
01
—
P00399299
RR MEDICARE
NC
Enumeration date
07/10/2006
Last updated
08/10/2016
Update your record
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