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Individual

DR. RAUL C RIBEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
20054
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118201
MS
05
009914710
AL
05
0149821
MT
05
0529073
IA
05
060503201
TX
05
100066460A
OK
05
1135350 00
WY
05
132325001
AR
05
1535150
LA
05
2007509
OH
05
205028905
MO
05
3077535
TN
05
422400000
ME
05
544199
AZ
05
64926777
KS
05
6738737
VA
05
7612285
NC
Enumeration date
05/27/2005
Last updated
10/02/2012
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