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NPI Code Detail

MEDICARE: DR. ROGELIA BULILAN MEDIDAS M.D

MEDICARE: DR. ROGELIA BULILAN MEDIDAS 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
1207R00000XInternal Medicine Physician35.034992OH

Other Identifiers

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

General Provider Information

NPI Number : 1093853491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGELIA BULILAN MEDIDAS M.D
Provider Business Mailing Address
First Line : PO BOX 932127
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0008
Country : US
Telephone Number : 216-472-2730
Fax Number : 216-472-2740
Provider Business Practice Location Address
First Line : 3600 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2831
Country : US
Telephone Number : 216-363-7733
Fax Number : 216-631-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 03/03/2014

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