Madiwale, Taj M

Madiwale, Taj M is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Madiwale, Taj M can be contacted via phone (305) 666-6511.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (305) 666-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME112434 Florida

Profile Details

NPI number 1508853318
LBN Legal business name Madiwale, Taj M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 9th, 2015 - about 11 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 1508853318 NPPES
Alabama MEDICAID 009962025
Alabama MEDICAID 006684600
Alabama Other 051522393

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