Individual
REECHA MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3411 N 5TH AVE STE 209, PHOENIX, AZ 85013
(026) 789-0344
(602) 789-8389
Mailing address
3411 N 5TH AVE STE 209, PHOENIX, AZ 85013-3812
(026) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P3193
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
55748
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263996YMHS
WELLMED NETWORKS INC
TX
01
—
TXB154750
WELLMED MEDICAL GROUP PA
—
Enumeration date
07/02/2008
Last updated
06/13/2018
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