Individual
VAGESH MAHADEVAPPA HAMPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST, STE 215, ELYRIA, OH 44035-6400
(440) 329-7360
(440) 329-7410
Mailing address
125 E BROAD ST, STE 215, ELYRIA, OH 44035-6400
(440) 329-7360
(440) 329-7410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35042723
OH
207RR0500X
Rheumatology Physician
Primary
35042723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490633
—
OH
05
—
3041765
—
OH
Enumeration date
08/15/2005
Last updated
03/24/2014
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