NPI 1508313701 · live from the CMS NPI Registry
Carlos Omar Acevedo Arus
Family Medicine in Beech Grove, IN. National Provider Identifier 1508313701, active.
NPI record
| NPI | 1508313701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2030 Churchman Ave, Beech Grove, IN 46107 |
| Practice phone | 317-786-9285 |
| Mailing address | Po Box 781076 College Park, Detroit, MI 48278 |
| Enumerated | September 6, 2016 |
| Last updated | July 19, 2023 |
| Sole proprietor | Yes |
| Other names | Carlos Acevedo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4956520 (PR) |
| Family Medicine primary | 207Q00000X | 01089473A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.