| Doctor Name: | KOMMULA CHIRANJEEVI RAO |
| NPI Number: | 1093740425 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35047542R |
| Business Practice Address: | 485 W Market St Tiffin, OH - 44883 |
| Business Phone Number: | 4194473130 |
| Business Fax Number: | 4194483155 |
| Mailing Address: | Po Box 1108, ANN ARBOR |
| State: | MI |
| Postal Code: | 481061108 |
| Phone Number: | 7346777400 |
| Fax Number: | 7346777407 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 35047542R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |