Madaelil, Philip Thomas

Madaelil, Philip Thomas is an individual health care provider with primary practice located at 111 Center Pointe Dr Ste 2 , Clarksville TN 37040-8684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Madaelil, Philip Thomas can be contacted via phone (931) 919-2627.

Contact Information

Primary practice address
111 Center Pointe Dr Ste 2 Clarksville TN 37040-8684
Phone: (931) 919-2627
Fax: (931) 919-2628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30683 Tennessee

Profile Details

NPI number 1487657722
LBN Legal business name Madaelil, Philip Thomas
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 5th, 2022 - about 2 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 1487657722 NPPES
Tennessee MEDICAID 3827110
Tennessee Other P00989636
Tennessee Other 6011923

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