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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912902081 | NPPES |
Pennsylvania | MEDICAID | 001086752 |
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