Individual
DR. BAHAR MADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-4310
Mailing address
10170 SORRENTO VALLEY RD, PAVILLION III, SUITE #268, SAN DIEGO, CA 92121-1604
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
101882
CA
207RG0100X
Gastroenterology Physician
Primary
101882
CA
207RI0008X
Hepatology Physician
N5211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CH059
BLUE CROSS
TX
Enumeration date
05/14/2008
Last updated
10/05/2020
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