Individual
ISHAAN KAMBO MADHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 WELLS RD, ORANGE PARK, FL 32073-2301
(904) 398-3385
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME173226
FL
207RG0100X
Gastroenterology Physician
Primary
ME173226
FL
Other
Enumeration date
03/26/2019
Last updated
08/25/2025
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