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Individual

DR. SHIVANSHU MADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 ROCKY MOUNTAIN AVE STE 100, LOVELAND, CO 80538-9004
(970) 221-1000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-2070
(910) 755-1474

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01095
NC
207RC0000X
Cardiovascular Disease Physician
DR.0062716
CO
207RI0011X
Interventional Cardiology Physician
Primary
DR.0062716
CO

Other

Enumeration date
05/24/2012
Last updated
03/18/2020
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