Individual
DR. SHINOJ PATTALI JAYAVALSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
400 MATTHEW ST, STRECKER CANCER CENTER, MARIETTA, OH 45750-1644
(740) 376-5000
(740) 376-5002
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057348
IL
207RH0003X
Hematology & Oncology Physician
Primary
35.127465
OH
Other
Enumeration date
08/20/2010
Last updated
06/22/2016
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