Individual
MS. HIMAJA GADDIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 286-5050
Mailing address
13207 RAVENNA RD, CHARDON, OH 44024-7032
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5151013966
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48071
—
MI
Enumeration date
05/21/2019
Last updated
06/21/2025
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