Organization
SERI KAOSOL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERI KAOSOL MD (PRESIDENT)
(419) 448-4814
Entity
Organization
Contact information
Practice address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 448-4814
(419) 448-3622
Mailing address
PO BOX 446 485 W MARKET ST, TIFFIN, OH 44883-0446
(419) 448-4814
(419) 448-3622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128601
ANTHEM
OH
05
—
0516258
—
OH
Enumeration date
07/11/2006
Last updated
04/20/2008
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