Individual
DR. VASANTHA C. MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 YOST BLVD, FOREST HILLS PLAZA-SUITE 216, PITTSBURGH, PA 15221-5283
(412) 823-3113
(412) 824-8634
Mailing address
21 YOST BLVD, FOREST HILLS PLAZA-SUITE 216, PITTSBURGH, PA 15221-5283
(412) 823-3113
(412) 824-8634
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD027285E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008930950014
—
PA
01
—
060007476
RAILROAD MEDICARE
PA
01
—
102417
UPMC HEALTH PLAN
PA
01
—
1538649
GATEWAY
PA
01
—
155597
MEDPLUS
PA
01
—
1629728
HIGHMARK BCBS
PA
01
—
1834861002
CIGNA
PA
01
—
201362491
TRICARE
PA
01
—
244070
COVENTRY HEALTHCARE
PA
01
—
7974591
AETNA
PA
Enumeration date
01/27/2006
Last updated
06/28/2011
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