Individual
DR. PARAG ARVIND MADHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3331 W DEYOUNG ST, SUITE 100, MARION, IL 62959-5896
(618) 998-7600
(618) 997-6680
Mailing address
3331 W DEYOUNG ST, SUITE 100, MARION, IL 62959-5896
(618) 998-7600
(618) 997-6680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036092572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092572
—
IL
Enumeration date
09/06/2005
Last updated
01/17/2008
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