Individual
MADAN KUMAR NANJUNDE GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-3880
(256) 265-3886
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38529
AL
207RN0300X
Nephrology Physician
38529
AL
Other
Enumeration date
10/28/2008
Last updated
12/19/2019
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