Madhavan, Vandana Laxmi

Madhavan, Vandana Laxmi is an individual health care provider with primary practice located at 175 Cambridge St Cpzs-546, Massgeneral Hospital For Children, Boston MA 02114-2743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Madhavan, Vandana Laxmi can be contacted via phone (617) 643-0722.

Contact Information

Primary practice address
175 Cambridge St Cpzs-546, Massgeneral Hospital For Children Boston MA 02114-2743
Phone: (617) 643-0722
Fax: (617) 643-0395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 223881 Massachusetts

Profile Details

NPI number 1265407993
LBN Legal business name Madhavan, Vandana Laxmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 12th, 2013 - about 13 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 1265407993 NPPES
Massachusetts MEDICAID 2103214
Massachusetts Other J28679
Massachusetts Other 468282

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