Individual
JAY PATIBANDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6235
Mailing address
4151 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 492-8001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.135238
OH
Other
Enumeration date
04/11/2013
Last updated
07/02/2019
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