Individual
EDGARDO O CABATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1283 BEARPAW DR, DEFIANCE, OH 43512-8559
(419) 782-1196
(419) 885-0203
Mailing address
1283 BEARPAW DR, DEFIANCE, OH 43512-8559
(419) 782-1196
(419) 885-0203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35079199C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249810
—
OH
Enumeration date
06/28/2006
Last updated
06/14/2016
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