Individual
DR. JAY B MADHURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16281 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-3725
(818) 838-4600
(818) 366-7479
Mailing address
16281 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-3725
(818) 838-4600
(818) 366-7479
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
A33612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A336121
—
CA
Enumeration date
07/11/2006
Last updated
08/20/2016
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