Provider Demographics
NPI:1144406687
Name:VARGAS, ALFRED P (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:P
Last Name:VARGAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:614-544-6382
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:285 E STATE ST BLDG 2852ND
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4354
Practice Address - Country:US
Practice Address - Phone:614-788-4699
Practice Address - Fax:614-533-0471
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH35096976207RH0003X, 207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0056839Medicaid