# RAFAEL EVENCIO MOLINA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003896796
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 21985 | WV | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 35086645 | OH | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 05/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000368678 | ANTHEM BC | OH |
| 01 | — | 001709560 | MT. STATE | WV |
| 01 | — | 001709561 | MT. STATE | OH |
| 05 | — | 2613578 | — | OH |
| 05 | — | 3810001850 | — | WV |
| 05 | — | 64107105 | — | KY |