Pathinathan, Jodan

Pathinathan, Jodan is an sole proprietor health care provider with primary practice located at 4761 S Cleveland Ave Ste 3 , Fort Myers FL 33907-1375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Pathinathan, Jodan can be contacted via phone (239) 343-9722.

Contact Information

Primary practice address
4761 S Cleveland Ave Ste 3 Fort Myers FL 33907-1375
Fax: (239) 343-9725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 307633 New York
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME176436 Florida

Profile Details

NPI number 1780112896
LBN Legal business name Pathinathan, Jodan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2017
Last updated Feb 5th, 2026 - about 9 months 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 1780112896 NPPES
Florida MEDICAID 129307200

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