Dr. Smitha Patibandla, MD
Psychiatry & Neurology, Psychiatry in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1154580918
StatusActive
Last updated in NPPESAug 24, 2016
Details
- NPI
- 1154580918
- Entity type
- Individual (NPI-1)
- Name
- Dr. Smitha Patibandla
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2008
- Last updated
- Aug 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01066011A | IN | Yes |
Practice location
800 BroadwaySuite 315
Fort Wayne, IN 46802-2149
Phone 260-489-6030 · Fax 260-489-5536
Mailing address
800 BroadwaySuite 315
Fort Wayne, IN 46802-2149
Phone 260-489-6030 · Fax 260-489-5536
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