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Individual

SASI R KALATHOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35063528
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.063528
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0178105
OH
Enumeration date
02/09/2006
Last updated
10/13/2023
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