Individual
ANGAD MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 S MANNING BLVD STE 6408A, ALBANY, NY 12208-1707
(518) 525-1303
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
311740
NY
207R00000X
Internal Medicine Physician
OT016780
PA
Other
Enumeration date
06/18/2015
Last updated
09/01/2021
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