Individual
MISS DAISY ANN MADATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 475-1011
Mailing address
PO BOX 6971, LINCOLN, NE 68506-0971
(402) 475-1011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25243
NE
208M00000X
Hospitalist Physician
25243
NE
Other
Enumeration date
05/10/2007
Last updated
10/05/2009
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