Individual
KOMMULA CHIRANJEEVI RAO
Active
Individual
KOMMULA CHIRANJEEVI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35047542R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024792
BCBS GROUP PIN
OH
01
—
000000026015
BCBS INDIVIDUAL ID
OH
05
—
0359400
—
OH
01
—
300133952
RR MEDICARE PIN
OH
01
—
341042168011
MEDICAL MUTUAL OHIO
OH
01
—
600113
BUCKEYE
OH
01
—
9122391
MEDICARE GROUP
OH
01
—
CK3646
MEDICARE RR GROUP PIN
OH
Enumeration date
07/12/2006
Last updated
07/03/2008
Update your record
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