Patibandla, Sujana K
Patibandla, Sujana K is an sole proprietor health care provider with primary practice located at 4186 Holiday St Nw , Canton OH 44718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Patibandla, Sujana K can be contacted via phone (330) 492-5210.Contact Information
Primary practice address
4186 Holiday St Nw
Canton OH 44718
Phone: (330) 492-5210
Fax: (330) 492-5230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35048212P | Ohio |
Profile Details
| NPI number | 1417916438 |
|---|---|
| LBN Legal business name | Patibandla, Sujana K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Feb 9th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417916438 | NPPES |
| Ohio | MEDICAID | 0505742 |
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