Madala, Harish

Madala, Harish is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 450 , Canton GA 30115-8020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Madala, Harish can be contacted via phone (770) 721-3800.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 450 Canton GA 30115-8020
Phone: (770) 721-3800
Fax: (770) 720-1890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301099976 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101264035 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 91670 Georgia

Profile Details

NPI number 1639433188
LBN Legal business name Madala, Harish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Apr 11th, 2024 - about 7 months 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 1639433188 NPPES
Georgia Other 91670 GEORGIA MEDICAL LICENSE

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