Organization
TIFFIN ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANT S KOTHARI MD (PARTNER)
(419) 448-1900
Entity
Organization
Contact information
Practice address
485 W MARKET STREET, TIFFIN, OH 44883-0717
(419) 448-1900
(419) 448-4553
Mailing address
485 W MARKET STREET, TIFFIN, OH 44883-0717
(419) 448-1900
(419) 448-4553
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422680
—
OH
05
—
0562127
—
OH
05
—
2071627
—
OH
05
—
2165473
—
OH
Enumeration date
10/03/2006
Last updated
04/29/2008
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