Provider Demographics
NPI:1811068471
Name:DOLOR, FELICIANO ROBERT G (MD)
Entity type:Individual
Prefix:
First Name:FELICIANO
Middle Name:ROBERT G
Last Name:DOLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1299 OLENTANGY RIVER RD
Mailing Address - Street 2:#103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3135
Mailing Address - Country:US
Mailing Address - Phone:614-566-4278
Mailing Address - Fax:614-566-5424
Practice Address - Street 1:500 E MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5369
Practice Address - Country:US
Practice Address - Phone:614-222-2202
Practice Address - Fax:614-222-3301
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-10-24
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Provider Licenses
StateLicense IDTaxonomies
OH35033398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0179551Medicaid
OH0179551Medicaid
OH0458228Medicare PIN