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Individual
DR. MANSOOR MADANI
Active
Individual
DR. MANSOOR MADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023126L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1610569
HIGHMARK
PA
01
—
172847
BLUE SHIELD
PA
01
—
4517236
AETNA
PA
01
—
MA172847
HIGHMARK
PA
Enumeration date
12/26/2007
Last updated
03/04/2022
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