| Fausto P Vasquez, Md, Inc | |
|
7017 Vine St Cincinnati OH 45216-2031 | |
| (512) 821-2201 | |
| (513) 821-2202 |
| Full Name | Fausto P Vasquez, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7017 Vine St, Cincinnati, Ohio |
| Authorized Official Name and Position | Fausto P Vasquez (PRESIDENT) |
| Authorized Official Contact | 5138212201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fausto P Vasquez, Md, Inc 7017 Vine St Cincinnati OH 45216-2031 Ph: (512) 821-2201 | Fausto P Vasquez, Md, Inc 7017 Vine St Cincinnati OH 45216-2031 Ph: (512) 821-2201 |
| NPI Number | 1134199672 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134199672 | NPI | - | NPPES |
| 3012680 | Medicaid | OH | |
| DB2859 | Other | OH | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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