Borde, Madhusudan

Borde, Madhusudan is an sole proprietor health care provider with primary practice located at 1460 N Camino Alto Ste 111 , Vallejo CA 94589-2567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Borde, Madhusudan can be contacted via phone (707) 557-3200.

Contact Information

Primary practice address
1460 N Camino Alto Ste 111 Vallejo CA 94589-2567
Fax: (707) 557-3201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A35179 California

Profile Details

NPI number 1437210754
LBN Legal business name Borde, Madhusudan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Dec 20th, 2007 - about 17 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 1437210754 NPPES
California MEDICAID 00A351790

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