DR. Srinivasa Raghavan Madhavan, M.D.

NPI #1043566607 in Fargo, North Dakota

Provider Information

NPI Number: 1043566607
Entity Type: Individual
Name: DR. Srinivasa Raghavan Madhavan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 31, 2012
Last Updated: Jun 20, 2023

Practice Location

Address: 801 BROADWAY N
City: Fargo
State: North Dakota
ZIP Code: 58102-3641
Phone: (701) 234-5933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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