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NPI Code Detail

MEDICARE: EDUARDO IVAN AVENA AREVALO MD

MEDICARE: EDUARDO IVAN AVENA AREVALO 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
1208M00000XHospitalist Physician35.147880OH

General Provider Information

NPI Number : 1215564893
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUARDO IVAN AVENA AREVALO MD
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MCKINLEY PARK DR
Second Line :
City : MARION
State : OH
Zip : 43302-6399
Country : US
Telephone Number : 740-383-8473
Fax Number : 740-383-8695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 04/07/2026

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Directions to “ EDUARDO IVAN AVENA AREVALO MD” Practice Location

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