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1285618421

NPI Code Detail

MEDICARE: DR. RICARDO LONGARINI MD

MEDICARE: DR. RICARDO LONGARINI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	MD035344E	PA
2	207R00000X	Internal Medicine Physician	U3283	TX
3	207R00000X	Internal Medicine Physician	MD035344E	PA
4	207R00000X	Internal Medicine Physician	2006-01851	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285618421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO LONGARINI MD

Provider Business Mailing Address
First Line	:	6210 E HIGHWAY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1142
Country	:	US
Telephone Number	:	512-483-9596
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	11714 WILSON PARKE AVE STE 150
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-4061
Country	:	US
Telephone Number	:	737-247-7200
Fax Number	:	512-406-7368

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	08/06/2024

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Directions to “ DR. RICARDO LONGARINI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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