Madhure, Jay B
Madhure, Jay B is an sole proprietor health care provider with primary practice located at 16281 San Fernando Mission Blvd , Granada Hills CA 91344-3725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Madhure, Jay B can be contacted via phone (818) 838-4600.Contact Information
Primary practice address
16281 San Fernando Mission Blvd
Granada Hills CA 91344-3725
Phone: (818) 838-4600
Fax: (818) 366-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | A33612 | California |
Profile Details
| NPI number | 1770518714 |
|---|---|
| LBN Legal business name | Madhure, Jay B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 20th, 2016 - about 9 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 | 1770518714 | NPPES |
| California | MEDICAID | 00A336121 |
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