Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME129309 | FL |
N | 208600000X | Surgeon | ME129309 | FL |
Y | 2086S0102X | Surgical Critical Care | 35139479 | OH |
NPI | 1003087487 |
---|---|
Provider Name | Dr. Alfredo Cesar Cordova |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0409364 | (05) | OH |