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MICHAEL MADIEVSKYM.D. NPI 1558540294


NPI Information

NPI: 1558540294
Provider Name: MICHAEL MADIEVSKY,M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
18411 CLARK ST STE 204
TARZANA, CA
ZIP 91356
Phone: (818) 996-4796
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MICHAEL MADIEVSKY,M.D. is a gastroenterology internal medicine in Tarzana, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MICHAEL MADIEVSKY,M.D. NPI is 1558540294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18411 CLARK ST STE 204
TARZANA, CA
ZIP 91356-535
Phone: (818) 996-4796
Fax: (818) 996-4793

The provider's authorized official is Michael Madievsky .
The authorized official title is President and has the following contact phone number (818) 996-4796.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 11/9/2010.


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
1207RG0100XInternal MedicineGastroenterologyA65040CALIFORNIAYes

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
100A650400MEDICAIDCALIFORNIA
2H29932MEDICARE UPINCALIFORNIA
3W18873MEDICARE PINCALIFORNIA

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: 11/14/2023

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