Individual
DR. CHAD RYAN KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34.009017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528245
ANTHEM
OH
01
—
000000768472
ANTHEM
IN
05
—
201060090
—
IN
05
—
2754667
—
OH
01
—
P01053745
RAILROAD MEDICARE
IN
Enumeration date
03/28/2007
Last updated
11/23/2020
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