Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sujana K Patibandla MD Inc

Organization Specialist · NPI 1487988028

Sujana K Patibandla MD Inc provides Specialist services in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4186 Holiday St NW
Canton, OH 44718-2532 Not confirmed with CMS for 17 years — call before visiting
Phone: (330) 492-5210
Fax: (330) 492-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 35048212 (OH)

Record details

NPI number1487988028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sujana Patibandla — Owner · (330) 492-5210
NPI enumeratedSeptember 30, 2009
Last updated in NPPESSeptember 30, 2009
Mailing address4186 Holiday St Nw, Canton, OH 44718-2532

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