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DR. VANDANA LAXMI MADHAVAN MD NPI 1265407993


NPI Information

NPI: 1265407993
Provider Name: DR. VANDANA LAXMI MADHAVAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
175 CAMBRIDGE ST
CPZS-546, MASSGENERAL HOSPITAL FOR CHILDREN
BOSTON, MA
ZIP 02114
Phone: (617) 643-0722
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DR. Vandana Laxmi Madhavan, MD is a pediatrics in Boston, MA with 22 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Vandana Laxmi Madhavan, MD NPI is 1265407993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

175 CAMBRIDGE ST
CPZS-546, MASSGENERAL HOSPITAL FOR CHILDREN
BOSTON, MA
ZIP 02114-743
Phone: (617) 643-0722
Fax: (617) 643-0395

The NPI 1265407993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 4/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics223881MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I32557MEDICARE UPIN
22103214MEDICAIDMASSACHUSETTS
3A38556MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4468282OTHERMASSACHUSETTSTUFTS HEALTH PLAN
5J28679OTHERMASSACHUSETTSBCBS MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.