# CHARLES KUTINA

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

## Provider details

- **NPI number:** 1235106428
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35043393K | OH | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 07/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0119204 | GROUP MEDICAID | — |
| 05 | — | 0416437 | — | OH |
| 01 | — | 10794581 | CAQH | — |
| 01 | — | 120187 | KAISER | — |
| 01 | — | 1780634279 | GROUP NPI | — |
| 01 | — | 3610861 | GROUP ASC MEDICARE | — |
| 01 | — | 9273172 | GROUP MEDICARE | — |
| 01 | — | CA4511 | RR MEDICARE GROUP | — |
| 01 | — | D368301 | GROUP IND DIAGNOSTICS MED | — |
| 01 | — | P00069300 | RR MEDICARE INDIVIDUAL | — |