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Individual

ANITA PATIBANDLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2751 BAY PARK DR STE 304, OREGON, OH 43616-4922
(194) 690-7580
(419) 697-7703
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 291-2192
(419) 479-3297

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.090715
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000544668
ANTHEM
01
05249
PARAMOUNT
05
2794543
OH
01
47358
HPM
01
9401079
AETNA
Enumeration date
09/13/2007
Last updated
11/03/2023
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