Individual
JENNA PATHADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409-2902
(937) 208-2004
(937) 208-8828
Mailing address
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409-2902
(937) 208-2004
(937) 208-8828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34013035
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/10/2014
Last updated
12/11/2017
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