Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35072139 | OH |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35072139 | OH |
NPI | 1861489122 |
---|---|
Provider Name | Dr. Thomas G Padanilam |
First Address | Toledo, OH 43604-1531 |
Second Address | Toledo, OH 43615-2068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2018159 | (05) | OH |
G35563 | (02) |