Individual
PAVAN KIRAN MADADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 PINE ST, JACKSON HOSPITAL, MONTGOMERY, AL 36106-1109
(334) 293-8067
(954) 367-8512
Mailing address
1725 PINE ST, JACKSON HOSPITAL, MONTGOMERY, AL 36106-1109
(334) 293-8067
(954) 367-8512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30392
AL
Other
Enumeration date
02/01/2010
Last updated
02/25/2024
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