Organization
REKHA PADUBIDRI, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDEE FISHER (BILLING MANAGER)
(330) 270-5454
Entity
Organization
Contact information
Practice address
725 BOARDMAN CANFIELD RD, BLDG J2, YOUNGSTOWN, OH 44512-4380
(330) 726-0001
(330) 726-1828
Mailing address
725 BOARDMAN CANFIELD RD, BLDG J2, YOUNGSTOWN, OH 44512-4380
(330) 726-0001
(330) 726-1828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344723
ANTHEM BCBS
OH
05
—
2521533
—
OH
Enumeration date
08/20/2007
Last updated
03/04/2013
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