Individual
DR. JOSEPH REPASO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02002287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359233
ANTHEM NUMBER
IN
05
—
200509620
—
IN
Enumeration date
07/28/2005
Last updated
04/28/2025
Update your record
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