PURUSHOTHAMAN MADHU MD NPI 1922110113

NPI Information

Purushothaman Madhu, MD is a pediatric emergency medicine emergency medicine in Fort Worth, TX. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Purushothaman Madhu, MD NPI is 1922110113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 7TH AVE
FORT WORTH, TX
ZIP 76104-733
Phone: (682) 885-1024
Fax: (682) 885-1033

The NPI 1922110113 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 8/31/2006 and was last updated on 10/6/2016.

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:

Other Identifiers

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

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