Individual
MADAN BHATIA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 WALTON AVE, DOCTORS OFFICE, BRONX, NY 10451-2306
(718) 402-1800
(718) 402-2366
Mailing address
825 WALTON AVE, DOCTORS OFFICE, BRONX, NY 10451-2306
(718) 402-1800
(718) 402-2366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
123917
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
123917
NY
207RN0300X
Nephrology Physician
Primary
123917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232980
—
NY
Enumeration date
12/01/2006
Last updated
02/16/2026
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