# MADHAVI PAMIDI

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

## Provider details

- **NPI number:** 1710987201
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 25MA07137200 | NJ | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 25MA07137200 | NJ | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 04/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8565902 | — | NJ |