# MICHAEL P MADAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386633477
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13596 | NH | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 07/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01YP12076NH01 | ANTHEM | NH |
| 05 | — | 1018111 | — | VT |
| 01 | — | 22-2594672 | UNITED HEALTHCARE | NH |
| 05 | — | 30206977 | — | NH |
| 05 | — | 3073313 | — | NH |
| 01 | — | 4158828 | MRP | NH |
| 01 | — | 4906674 | CIGNA | NH |
| 01 | — | G35240 | HARVARE PILGRIM | NH |