Individual
DR. MADHAVAN THUPPAL
Active
Individual
DR. MADHAVAN THUPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD070792L
PA
2084P0802X
Addiction Psychiatry Physician
MD-070792-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD-070792-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018224090003
—
PA
01
—
469699
VALUE OPTIONS
PA
01
—
7180402
AETNA
PA
01
—
928263
HIGHMARK
PA
Enumeration date
06/10/2006
Last updated
07/07/2017
Update your record
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