Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57.020802 | OH |
N | 111NI0900X | Internist | 57.020802 | OH |
Y | 207RI0200X | Infectious Disease | 35.131029 | OH |
NPI | 1073874939 |
---|---|
Provider Name | Dr. Edwin Alonso Vargas Velandia |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 25/09/2020 |