Individual
NITI MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 V ST, SUITE 3500, SACRAMENTO, CA 95817-1460
(916) 734-3774
Mailing address
4150 V ST, SUITE 3500, SACRAMENTO, CA 95817-1460
(916) 734-3774
(916) 734-7920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A93948
CA
207RN0300X
Nephrology Physician
Primary
A93948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64085434
—
KY
Enumeration date
08/31/2006
Last updated
03/03/2016
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