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NPI Code Detail

MEDICARE: DR. CARLOS A RODRIGUEZ M.D.

MEDICARE: DR. CARLOS A RODRIGUEZ 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
1207RG0100XGastroenterology Physician45942AZ
2207RG0100XGastroenterology Physician036082812IL
3207RG0100XGastroenterology PhysicianG138158CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1203529OTHERILMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164420840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS A RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 3700 MALL VIEW RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-3050
Country : US
Telephone Number : 877-524-7373
Fax Number :
Provider Business Practice Location Address
First Line : 3700 MALL VIEW RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-3050
Country : US
Telephone Number : 877-524-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/29/2021

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