Individual
DR. SIRADA PANUPATTANAPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5437
Mailing address
1055 OLD RIVER RD APT 435, CLEVELAND, OH 44113-5801
(646) 363-1937
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
131231
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2011
Last updated
03/17/2018
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