Provider Demographics
NPI:1063453470
Name:TOVAR, RUDOLPH MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:MICHAEL
Last Name:TOVAR
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:232 E BELL CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1935
Mailing Address - Country:US
Mailing Address - Phone:859-312-8389
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE STREET RM. C-358
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-2321
Practice Address - Fax:859-257-9089
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40221207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery