MEDICARE: DR. ROGELIO BULATAO RUFO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036350	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134261894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGELIO BULATAO RUFO M.D.

Provider Business Mailing Address
First Line	:	7384 WOODCROFT DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1294
Country	:	US
Telephone Number	:	513-755-8587
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 HAUCK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-4607
Country	:	US
Telephone Number	:	513-563-1505
Fax Number	:	513-769-4776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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