| Rudolph J. Vela M.d. Inc. | |
|
3101 W. U.s. Route 224 Tiffin OH 44883-8305 | |
| (419) 448-0220 | |
| (419) 448-0461 |
| Full Name | Rudolph J. Vela M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3101 W. U.s. Route 224, Tiffin, Ohio |
| Authorized Official Name and Position | Karen L Vela (VICE PRESIDENT/ADMINISTRATOR) |
| Authorized Official Contact | 4194480220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph J. Vela M.d. Inc. 3101 W. U.s. Rte 224 Tiffin OH 44883-8305 Ph: (419) 448-0220 | Rudolph J. Vela M.d. Inc. 3101 W. U.s. Route 224 Tiffin OH 44883-8305 Ph: (419) 448-0220 |
| NPI Number | 1073700647 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073700647 | NPI | - | NPPES |
| 0659498 | Medicaid | OH | |
| VE059662 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35053275 (Ohio) | Primary |
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