Individual
DAVID L MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4880 CENTURY PLAZA RD, # 905, INDIANAPOLIS, IN 46254-5469
(317) 279-6314
(317) 947-2698
Mailing address
4880 CENTURY PLAZA RD, # 905, INDIANAPOLIS, IN 46254-5469
(317) 279-6314
(317) 947-2698
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01031866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083157
BCBS PIN
—
05
—
100326060A
—
IN
01
—
760000004
RAILROAD MEDICARE PIN
—
Enumeration date
07/12/2006
Last updated
09/04/2017
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