Provider Demographics
NPI:1073874939
Name:VARGAS VELANDIA, EDWIN ALONSO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:ALONSO
Last Name:VARGAS VELANDIA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3555 OLENTANGY RIVER RD STE 3000
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3900
Mailing Address - Country:US
Mailing Address - Phone:614-788-5200
Mailing Address - Fax:614-788-5210
Practice Address - Street 1:3555 OLENTANGY RIVER RD STE 3000
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3900
Practice Address - Country:US
Practice Address - Phone:614-788-5200
Practice Address - Fax:614-788-5210
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.020802207R00000X
OH35.131029207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine