Organization
MADHAVAN PISHARODI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBI ALEX (OFFICE MANAGER)
(956) 541-6725
Entity
Organization
Contact information
Practice address
3475 W ALTON GLOOR BLVD, BROWNSVILLE, TX 78520-9277
(956) 541-6725
(956) 541-2070
Mailing address
3475 W ALTON GLOOR BLVD, BROWNSVILLE, TX 78520-9277
(956) 541-6725
(956) 541-2070
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G0796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081242201
—
TX
Enumeration date
02/06/2007
Last updated
11/10/2011
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