Shashi Madan Md Pc

LBN: Shashi Madan Md Pc
Shashi Madan Md Pc is an health care organization with primary practice located at 135 N Oak St , Jackson GA 30233-1942. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Shashi Madan Md Pc can be contacted via phone (770) 775-7675, or through Thompson, Sylvia via phone (770) 775-7675.

Contact Information

Primary practice address
135 N Oak St Jackson GA 30233-1942
Phone: (770) 775-7675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Sylvia
Phone: (770) 775-7675

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 037279 Georgia
Agencies / Home Health 251E00000X 037279 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 037279 Georgia

Profile Details

NPI number 1801117007
LBN Legal business name Shashi Madan Md Pc
DBA Doing business as
Authorized official Thompson, Sylvia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2010
Last updated Jun 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801117007 NPPES
Georgia MEDICAID 000568554B

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