Raul Hiedra, MD | |
5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 | |
(410) 550-5018 | |
(410) 550-2972 |
Full Name | Raul Hiedra |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 5200 Eastern Ave Fl East2, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033605787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT214834 (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | D91637 (Maryland) | Secondary |
208M00000X | Hospitalist | D91637 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Raul Hiedra, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Raul Hiedra, MD 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 Ph: (410) 550-5018 |
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