# DR. RUDOLPH JESSE VELA

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

## Provider details

- **NPI number:** 1407043904
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35053275 | OH | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 02/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0659498 | — | OH |
| 01 | — | VE0597662 | MEDICARE | — |