Individual
SUMIT MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E. BANNER GATEWAY DRIVE, SUITE 450, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
Q1211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338795301
—
TX
Enumeration date
07/02/2008
Last updated
08/23/2018
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