Dharawat, Madhusudan N
Dharawat, Madhusudan N is an sole proprietor health care provider with primary practice located at 3523 Bluelake Cir , Stockton CA 95219-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dharawat, Madhusudan N can be contacted via phone (304) 215-2490.Contact Information
Primary practice address
3523 Bluelake Cir
Stockton CA 95219-1745
Phone: (304) 215-2490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21010 | West Virginia |
Profile Details
| NPI number | 1376685065 |
|---|---|
| LBN Legal business name | Dharawat, Madhusudan N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jun 21st, 2021 - about 3 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 | 1376685065 | NPPES |
| West Virginia | MEDICAID | 2003824000 |
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