Individual
MADAN S BANGALORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20410 OBSERVATION DR 210, GERMANTOWN, MD 20876-6422
(301) 869-9776
(301) 417-4947
Mailing address
15825 SHADY GROVE RD, SUITE 140, ROCKVILLE, MD 20850-4008
(301) 869-9776
(301) 216-2592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0067512
MD
Other
Enumeration date
04/30/2008
Last updated
10/22/2015
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