Sujana K Patibandla MD INC

NPI #1487988028 in Canton, Ohio

Provider Information

NPI Number: 1487988028
Entity Type: Organization
Organization Name: Sujana K Patibandla MD INC
Primary Specialty: Specialist
Enumeration Date: Sep 30, 2009
Last Updated: Sep 30, 2009

Practice Location

Address: 4186 HOLIDAY ST NW
City: Canton
State: Ohio
ZIP Code: 44718-2532
Phone: (330) 492-5210

Authorized Official

Name: SUJANA K PATIBANDLA, MD
Title: OWNER
Phone: (330) 492-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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