Dantala, Pavani

Dantala, Pavani is an individual health care provider with primary practice located at 1 Medical Center Dr , Middletown OH 45005-2584. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dantala, Pavani can be contacted via phone (513) 705-4754.

Contact Information

Primary practice address
1 Medical Center Dr Middletown OH 45005-2584
Phone: (513) 705-4754
Fax: (513) 420-5156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35095144 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.095144 Ohio

Profile Details

NPI number 1902009152
LBN Legal business name Dantala, Pavani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Dec 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902009152 NPPES
Ohio MEDICAID 3077674

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