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SUJANA K PATIBANDLA MD INC
NPI 1487988028
Specialist in Canton, OH

Active since September 30, 2009
4186 HOLIDAY ST NW, CANTON, OH 44718(330) 492-5210(330) 492-5230 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sujana K Patibandla Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJANA K PATIBANDLA MD INC (NPI 1487988028) is a healthcare organization registered as a specialist in Canton, Ohio and active in the NPI registry since September 2009. The organization lists Sujana K Patibandla, Owner, as its authorized official.

NPPES Registry Identity

NPI1487988028
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUJANA K PATIBANDLA MD INC
Location Address4186 HOLIDAY ST NWCanton, OH 44718-2532
Mailing Address4186 Holiday St NwCanton, OH 44718-2532 · (330) 492-5210 · Fax (330) 492-5230
Phone(330) 492-5210
Fax(330) 492-5230
Organization SubpartNo
Authorized OfficialSujana K PatibandlaOwner · (330) 492-5210
Enumeration DateSeptember 30, 2009
✔ NPI 1487988028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35048212
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4186 HOLIDAY ST NW, Canton, OH 44718
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Other Identifiers 3

Medicare PIN0519602OH
Medicare UPINA15228OH
Medicaid0505742OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUJANA K PATIBANDLA MD
Obstetrics & Gynecology
4186 HOLIDAY ST NW
CANTON, OH 44718
Stark County (330) 492-5210
VIVEK VELUCHAMY MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4186 HOLIDAY ST NW
CANTON, OH 44718
Stark County (330) 288-7006
CANTON CHILD NEUROLOGY LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4186 HOLIDAY ST NW
CANTON, OH 44718
Stark County (216) 534-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujana K Patibandla MD Inc's NPI number?

The NPI number for Sujana K Patibandla MD Inc is 1487988028. It was assigned to this organization in the NPPES registry on September 30, 2009.

Where is Sujana K Patibandla MD Inc located?

Sujana K Patibandla MD Inc is located at 4186 Holiday St NW, Canton, OH 44718. The listed phone number is (330) 492-5210.

What is Sujana K Patibandla MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sujana K Patibandla MD Inc was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.