Individual
DR. PRADYUMNA KUMAR PADIVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.C.
Contact information
Practice address
275 CLINE AVE, MANSFIELD, OH 44907-1000
(419) 756-2177
(419) 756-7275
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.042607
OH
207RC0000X
Cardiovascular Disease Physician
35042607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366876
—
OH
Enumeration date
07/04/2006
Last updated
01/25/2022
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