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Individual

NIKHIL MADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-1671
Mailing address
3030 N CENTRAL AVE, STE 1200, PHOENIX, AZ 85012-2745
(602) 406-2972
(602) 406-7586

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052265
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
52815
AZ
207RP1001X
Pulmonary Disease Physician
52815
AZ
207RP1001X
Pulmonary Disease Physician
MT196393
PA

Other

Enumeration date
06/20/2008
Last updated
05/03/2017
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