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General NPI Number Information
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NPI Number | 1144486309
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Entity Type | Individual
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Provider Name | EDUARDO BRAUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 01/03/2018
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Provider Practice Location Address
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Address Line | 1668 S US HIGHWAY 421
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City | WESTVILLE
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State | IN
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Zip | 46391-9523
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Country | US
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Telephone | 800-860-8100
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Fax | 574-282-2813
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Provider Business Mailing Address
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Address Line | 100 E WAYNE ST STE 510
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City | SOUTH BEND
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State | IN
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Zip | 46601-2349
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Country | US
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Telephone | 574-334-5390
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Fax | 574-334-5368
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01072837A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125053218
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01072837A
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License Number State | IN
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