Kalyan, Madhu T

Kalyan, Madhu T is an individual health care provider with primary practice located at 601 W Maple Ave Ste 101 , Springdale AR 72764-5370. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kalyan, Madhu T can be contacted via phone (479) 757-4720.

Contact Information

Primary practice address
601 W Maple Ave Ste 101 Springdale AR 72764-5370
Phone: (479) 757-4720
Fax: (479) 757-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E3298 Arkansas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E-3298 Arkansas

Profile Details

NPI number 1386689644
LBN Legal business name Kalyan, Madhu T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 9th, 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 1386689644 NPPES
Oklahoma MEDICAID 200008290A
Oklahoma Other P00196415
Oklahoma MEDICAID 146947001
Oklahoma Other 5H893

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