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Sujana K Patibandla Md Inc
Specialist in Canton, Ohio
NPI 1487988028

Sujana K Patibandla Md Inc is a Specialist based in Canton, OH. Sujana K Patibandla Md Inc practices in Canton, OH. The NPI Number for Sujana K Patibandla Md Inc is 1487988028 and holds a License No. 35048212 (Ohio).

The current practice location address for Sujana K Patibandla Md Inc is 4186 Holiday St Nw, Canton, OH and can be reached out via phone at 330-492-5210 and via fax at 330-492-5230.

Location: 4186 Holiday St Nw, Canton, OH, 44718-2532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487988028
Provider Name
Sujana K Patibandla Md Inc
Credential
Provider Entity Type
Organization
Address
4186 Holiday St Nw, Canton, OH, 44718-2532
Phone Number
330-492-5210
Fax Number
330-492-5230
Provider Enumeration Date
09/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0505742 05 OH
institution
Provider Business Practice Location Address Details
Address
4186 Holiday St Nw
City
Canton
State
Ohio
Zip
44718-2532
Phone Number
330-492-5210
Fax Number
330-492-5230
person
Provider Business Mailing Address Details
Address
4186 Holiday St Nw
City
Canton
State
Ohio
Zip
44718-2532
Phone Number
330-492-5210
Fax Number
330-492-5230
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35048212 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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