Pamidi, Madhavi
Pamidi, Madhavi is an individual health care provider with primary practice located at 375 Mount Pleasant Ave , West Orange NJ 07052-2724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Pamidi, Madhavi can be contacted via phone (973) 731-9442.Contact Information
Primary practice address
375 Mount Pleasant Ave
West Orange NJ 07052-2724
Phone: (973) 731-9442
Fax: (973) 731-2918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA07137200 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25MA07137200 | New Jersey |
Profile Details
| NPI number | 1710987201 |
|---|---|
| LBN Legal business name | Pamidi, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Apr 30th, 2009 - about 15 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 | 1710987201 | NPPES |
| New Jersey | MEDICAID | 8565902 |
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