Sujana K Patibandla MD INC
Specialist in Canton, OH. Organization (NPI-2).
NPI number1487988028
StatusActive
Last updated in NPPESSep 30, 2009
Details
- NPI
- 1487988028
- Entity type
- Organization (NPI-2)
- Legal business name
- Sujana K Patibandla MD INC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2009
- Last updated
- Sep 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 35048212 | OH | Yes |
Practice location
4186 Holiday St NwCanton, OH 44718-2532
Phone 330-492-5210 · Fax 330-492-5230
Mailing address
4186 Holiday St NwCanton, OH 44718-2532
Phone 330-492-5210 · Fax 330-492-5230
Authorized official
Sujana K Patibandla
Owner
3304925210
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