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Luis Augusto Marcos Raymundo, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1205161015

Luis Augusto Marcos Raymundo is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Luis Augusto Marcos Raymundo practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Luis Augusto Marcos Raymundo is 1205161015 and holds a License No. 21387 (New York).

The current practice location address for Luis Augusto Marcos Raymundo is Hsc T15 080, Stony Brook, NY and can be reached out via phone at 631-444-3490 and via fax at 631-638-7518.

Location: Hsc T15 080, Stony Brook, NY, 11790-0988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205161015
Provider Name
Luis Augusto Marcos Raymundo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Hsc T15 080, Stony Brook, NY, 11790-0988
Phone Number
631-444-3490
Fax Number
631-638-7518
Provider Enumeration Date
10/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06575513 01 MS MAGNOLIA
9576702 01 MS AETNA
06575513 05 MS
302I449980 01 MS MEDICARE PTAN
3310476 01 UHC
institution
Provider Business Practice Location Address Details
Address
Hsc T15 080
City
Stony Brook
State
New York
Zip
11794-8153
Phone Number
631-444-3490
Fax Number
631-638-7518
person
Provider Business Mailing Address Details
Address
Hsc T15 080
City
Stony Brook
State
New York
Zip
11794-8153
Phone Number
631-444-3490
Fax Number
631-638-7518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Infectious Disease
Taxonomy
207RI0200X
License No.
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Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
21387 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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