Baikadi, Madhava

Baikadi, Madhava is an individual health care provider with primary practice located at 1110 Meade St , Dunmore PA 18512-3169. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Baikadi, Madhava can be contacted via phone (570) 504-7200.

Contact Information

Primary practice address
1110 Meade St Dunmore PA 18512-3169
Phone: (570) 504-7200
Fax: (570) 504-7209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD-027885-E Pennsylvania
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X MD 027885E Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD027885E Pennsylvania

Profile Details

NPI number 1912902081
LBN Legal business name Baikadi, Madhava
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912902081 NPPES
Pennsylvania MEDICAID 001086752

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