Individual
DR. PATRICK OLAMIDOTUN SOBANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3376
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-5390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BS085674
OH
2080P0214X
Pediatric Pulmonology Physician
Primary
35.085674
OH
2080P0214X
Pediatric Pulmonology Physician
65599-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307822
—
OH
05
—
100012670
—
IN
01
—
310833936
HUMANA
—
05
—
65901886
—
KY
Enumeration date
05/10/2006
Last updated
10/12/2023
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