Individual
DR. RENATO V LAROCCA
Active
Individual
DR. RENATO V LAROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
01038333A
IN
207RX0202X
Medical Oncology Physician
Primary
27078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051747
ANTHEM
—
05
—
100360120A
—
IN
01
—
1063885
PASSPORT
—
05
—
64270788
—
KY
01
—
90001964
RAILROAD MEDICARE
—
Enumeration date
02/08/2006
Last updated
10/16/2019
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