Individual
MADHU BHASKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NEPHROLOGY, 100 COMMUNITY DRIVE, GREAT NECK, NY 11021
(516) 465-8210
Mailing address
NEPHROLOGY, 100 COMMUNITY DRIVE, GREAT NECK, NY 11021
(516) 465-8210
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
242158
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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