Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2006-0201 | NM |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 258278 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 258278 | NY |
NPI | 1225142896 |
---|---|
Provider Name | Dilip Madnani |
First Address | New York, NY 10017-4709 |
Second Address | New York, NY 10017-4709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 21/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00NM001P04 | BCBS (01) | NM |
4025971 | (05) | NM |
P00379546 | RAILROAD MEDICARE (01) | NM |
P00659899 | RAILROAD MEDICARE (01) | NM |