MEDICARE: JOSE MOREL 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	35-08-1688M	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952486573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE MOREL MD

Provider Business Mailing Address
First Line	:	3433 AGLER RD
Second Line	:	1100
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3387
Country	:	US
Telephone Number	:	614-473-1300
Fax Number	:	614-473-0722

Provider Business Practice Location Address
First Line	:	3433 AGLER RD
Second Line	:	1100
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3387
Country	:	US
Telephone Number	:	614-473-1300
Fax Number	:	614-473-0722

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	12/16/2009

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Directions to “ JOSE MOREL MD” Practice Location

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