Individual
RAPHAEL VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST, MEDICINE SERVICE, 111, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, MEDICINE SERVICE, 111, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01051969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351160
ANTHEM PROVIDER NUMBER
IN
05
—
200300450
—
IN
01
—
9397565
PHCS PID NUMBER
IN
Enumeration date
03/20/2006
Last updated
12/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us