Individual
PADMAJA DUDDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
822 KUMHO DR, SUITE 202, FAIRLAWN, OH 44333-9297
(330) 576-0500
(330) 576-0467
Mailing address
7574 HERRICK PARK DR, HUDSON, OH 44236-2375
(330) 294-0294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35077580
OH
208M00000X
Hospitalist Physician
35077580
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2216864
—
OH
Enumeration date
07/03/2006
Last updated
06/30/2009
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