Madabhushi, Aditi

Madabhushi, Aditi is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 201 , Corvallis OR 97330-3771. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Madabhushi, Aditi can be contacted via phone (541) 768-5930.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 201 Corvallis OR 97330-3771
Phone: (541) 768-5930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD187061 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.096280 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.096280 Ohio

Profile Details

NPI number 1982866406
LBN Legal business name Madabhushi, Aditi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Dec 20th, 2021 - about 4 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 1982866406 NPPES
Oregon MEDICAID 500743677

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