Individual
PAUL A. PATHADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 E MAIN ST # 328, OHIO IMAGING ASSOCIATES, INC, KENT, OH 44240-5818
(330) 593-1049
(330) 677-8770
Mailing address
1675 E MAIN ST # 328, OHIO IMAGING ASSOCIATES, INC, KENT, OH 44240-5818
(330) 593-1049
(330) 677-8770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-07-6559-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126694
—
OH
01
—
P01573668
RAILROAD MEDICARE
OH
Enumeration date
05/17/2006
Last updated
03/01/2016
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