Individual
DR. PATRICK P LITAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41201 SCHADDEN RD, SUITE 2, ELYRIA, OH 44035-2220
(440) 324-0401
(440) 324-0405
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
61210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139926
ANTHEM
OH
01
—
10883
OHIO HEALTH CHOICE
OH
05
—
2003692
—
OH
01
—
341832420032
CARESOURCE
OH
01
—
3600179
UNITED HEALTHCARE
OH
01
—
55077
QUAL CHOICE
OH
01
—
830003427
RAILROAD MEDICARE
OH
01
—
E61210
SUMMACARE
OH
Enumeration date
05/18/2006
Last updated
01/10/2023
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