MEDICARE: MR. RUFUS A REUBEN MD

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	207R00000X	Internal Medicine Physician	35-06-6099R	OH
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35-06-6099R	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110235464	OTHER	OH	MEDICARE RAILROAD

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
2	1861484883	OTHER	OH	NPI

General Provider Information

NPI Number	:	1861484883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RUFUS A REUBEN MD

Provider Business Mailing Address
First Line	:	275 GRAHAM RD
Second Line	:	STE 4
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2259
Country	:	US
Telephone Number	:	330-926-9409
Fax Number	:	330-926-9428

Provider Business Practice Location Address
First Line	:	275 GRAHAM RD
Second Line	:	SUITE 4
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2259
Country	:	US
Telephone Number	:	330-926-9409
Fax Number	:	330-926-9428

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	05/02/2018

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Directions to “ MR. RUFUS A REUBEN MD” Practice Location

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