Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101058828 | VA |
N | 111NI0900X | Internist | 0101058828 | VA |
N | 207RH0000X | Hematologist | 0101058828 | VA |
N | 207RH0003X | Hematology & Oncology | 0101058828 | VA |
Y | 207RX0202X | Medical Oncology | 0101058828 | VA |
NPI | 1003824210 |
---|---|
Provider Name | Dr. Raymund S Cuevo |
First Address | Baltimore, MD 21297-3174 |
Second Address | Fairfax, VA 22031-4867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 10/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F37620 | (02) |