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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386689644 | NPPES |
| Oklahoma | MEDICAID | 200008290A | |
| Oklahoma | Other | P00196415 | |
| Oklahoma | MEDICAID | 146947001 | |
| Oklahoma | Other | 5H893 |
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