Individual
PANIN SOADWA-HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 557-7400
Mailing address
24701 EUCLID AVE, THIRD FLOOR, EUCLID, OH 44117-1714
(419) 557-7400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-088989
OH
208000000X
Pediatrics Physician
D0065797
MD
Other
Enumeration date
06/28/2007
Last updated
10/04/2011
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