Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 311740 | NY |
N | 207R00000X | Internist | OT016780 | PA |
N | 111NI0900X | Internist | OT016780 | PA |
NPI | 1205217924 |
---|---|
Provider Name | Angad Madan |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12208-1707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 01/09/2021 |