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Organization

PATABI RAJ SEETHARAMAN

Active
Other names
MID-OHIO EYE CARE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATABI RAJ SEETHARAMAN MD (OWNER)
(419) 468-5200
Entity
Organization

Contact information

Practice address
251 PORTLAND WAY N, GALION, OH 44833-1632
(419) 468-5200
(419) 468-3719
Mailing address
32280 WINTERGREEN DR, SOLON, OH 44139-1356
(440) 248-2542

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4617T1363
OH
207W00000X
Ophthalmology Physician
Primary
35057803
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0897374
OH
05
2006895
OH
Enumeration date
05/10/2007
Last updated
04/19/2011
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