Madkour, Amanda

Madkour, Amanda is an individual health care provider with primary practice located at 51-53 Kenosia Ave , Danbury CT 06810-2304. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Madkour, Amanda can be contacted via phone (203) 748-0330.

Contact Information

Primary practice address
51-53 Kenosia Ave Danbury CT 06810-2304
Phone: (203) 748-0330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 001399 Connecticut
Allopathic & Osteopathic Physicians / Urology 208800000X 52744 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52744 Connecticut

Profile Details

NPI number 1104898436
LBN Legal business name Madkour, Amanda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104898436 NPPES
Connecticut Other 290001399CT01 ANTHEM BC/BS
Connecticut Other 139900 ANTHEM BC/BS
Connecticut Other P3188856 ANTHEM BC/BS

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