Individual
MADHAVA BAIKADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 MEADE ST, DUNMORE, PA 18512-3169
(570) 504-7200
(570) 504-7209
Mailing address
712 MAIN ST, MOOSIC, PA 18507-1094
(570) 504-7210
(570) 955-2213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD-027885-E
PA
2085R0001X
Radiation Oncology Physician
Primary
MD027885E
PA
2085R0203X
Therapeutic Radiology Physician
MD 027885E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001086752
—
PA
Enumeration date
06/16/2005
Last updated
04/18/2019
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