KOMMULA CHIRANJEEVI RAO MD NPI 1093740425

NPI Information

NPI: 1093740425
Provider Name: KOMMULA CHIRANJEEVI RAO, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
485 W MARKET ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-3130
Get Directions

Kommula Chiranjeevi Rao, MD is a diagnostic radiology radiology in Tiffin, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kommula Chiranjeevi Rao, MD NPI is 1093740425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

485 W MARKET ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-3130
Fax: (419) 448-3155

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	35047542R	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CK3646	OTHER	OHIO	MEDICARE RR GROUP PIN
2	600113	OTHER	OHIO	BUCKEYE
3	0640021	MEDICARE PIN	OHIO
4	E30115	MEDICARE UPIN
5	0359400	MEDICAID	OHIO
6	9122391	OTHER	OHIO	MEDICARE GROUP
7	000000024792	OTHER	OHIO	BCBS GROUP PIN
8	000000026015	OTHER	OHIO	ANTHEM MEDICAID
9	000000026015	OTHER	OHIO	BCBS INDIVIDUAL ID
10	341042168011	OTHER	OHIO	MEDICAL MUTUAL OHIO
11	300133952	OTHER	OHIO	RR MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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