Individual
DIANE L CHOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC BLDG., AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Mailing address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC BLDG., AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-0832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454744
MEDICAID GROUP #
OH
05
—
0938114
—
OH
01
—
1821035940
AGMC TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2NPI #
OH
01
—
3600271
MEDICARE GROUP #
OH
Enumeration date
03/20/2006
Last updated
10/11/2016
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