Individual
MRS. SUJANA K PATIBANDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4186 HOLIDAY ST NW, CANTON, OH 44718
(330) 492-5210
(330) 492-5230
Mailing address
4186 HOLIDAY ST NW, CANTON, OH 44718
(330) 492-5210
(330) 492-5230
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35048212P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505742
—
OH
Enumeration date
03/20/2006
Last updated
02/09/2009
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