Pavani Dantala, MD
Internal Medicine in Middletown, OH. Individual provider (NPI-1).
NPI number1902009152
StatusActive
Last updated in NPPESDec 10, 2013
Details
- NPI
- 1902009152
- Entity type
- Individual (NPI-1)
- Name
- Pavani Dantala
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2007
- Last updated
- Dec 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35.095144 | OH | Yes |
| 208M00000X | Hospitalist | 35095144 | OH |
Practice location
1 Medical Center DrMiddletown, OH 45005-2584
Phone 513-705-4754 · Fax 513-420-5156
Mailing address
1 Medical Center DrMiddletown, OH 45005-2584
Phone 513-705-4754 · Fax 513-420-5156
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