Individual
CARLOS OMAR ACEVEDO ARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 786-9285
(317) 781-2793
Mailing address
PO BOX 781076 COLLEGE PARK, DETROIT, MI 48278-0001
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01089473A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4956520
PR
Other
Enumeration date
09/06/2016
Last updated
07/19/2023
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