Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35.130197 | OH |
NPI | 1023308046 |
---|---|
Provider Name | Deepa D. Patadia |
First Address | Lorain, OH 44053-4152 |
Second Address | Lorain, OH 44053-4152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 29/06/2017 |