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Organization

DRS. HOFFMAN, BIRMINGHAM & ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KOMMULA C RAO M.D. (PRESIDENT)
(419) 447-3100
Entity
Organization

Contact information

Practice address
45 ST LAWRENCE DR, TIFFIN, OH 44883-8310
(419) 448-3100
(419) 448-3155
Mailing address
PO BOX 1108, ATTN: BARB SIMMONS, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024792
BCBS GROUP #
OH
01
CK3646
MEDICARE RR GROUP PIN
OH
Enumeration date
07/17/2006
Last updated
08/14/2009
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