Individual
MADHAVI GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
159 BARNEGAT RD FL 2, POUGHKEEPSIE, NY 12601-5401
(845) 452-9800
(845) 452-7691
Mailing address
159 BARNEGAT RD FL 2, POUGHKEEPSIE, NY 12601-5401
(845) 452-9800
(845) 452-7691
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
220330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02218106
—
NY
01
—
MG03V69810
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/08/2005
Last updated
07/21/2022
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