Individual
DR. ROBERTO DOS REMEDIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4040
(855) 430-0335
Mailing address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4040
(855) 430-0335
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
40940
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239218
NY LICENSE NO
NY
01
—
40940
STATE LIC
KY
05
—
7100021670
—
KY
01
—
TP203
TEMP LIC
KY
Enumeration date
03/23/2007
Last updated
03/07/2023
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