Individual
DR. PANKAJ MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21727 IH 10 W STE 107, SAN ANTONIO, TX 78257-2108
(210) 644-1230
(210) 702-4615
Mailing address
21727 IH 10 W, SAN ANTONIO, TX 78257-2106
(210) 644-1230
(210) 702-4615
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q6873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359162001
—
TX
01
—
498304YR99
MEDICARE
TX
01
—
8FV105
BCBS
TX
Enumeration date
07/09/2008
Last updated
04/14/2026
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