Gadiraju, Madhavi

Gadiraju, Madhavi is an individual health care provider with primary practice located at 2402 W Wall St Ste 2 , Midland TX 79701-6316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gadiraju, Madhavi can be contacted via phone (432) 688-7700.

Contact Information

Primary practice address
2402 W Wall St Ste 2 Midland TX 79701-6316
Phone: (432) 688-7700
Fax: (432) 685-8282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301102304 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R6397 Texas

Profile Details

NPI number 1932541406
LBN Legal business name Gadiraju, Madhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2013
Last updated Jul 28th, 2020 - about 6 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 1932541406 NPPES
Texas MEDICAID 079837301
Texas Other 804641

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