Individual
DR. MAHESH VASANTHA MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-5960
(212) 305-8466
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-5960
(212) 305-8466
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
288950
NY
207RI0011X
Interventional Cardiology Physician
Primary
288950
NY
Other
Enumeration date
04/07/2014
Last updated
09/15/2023
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