| Sethu V. Madhavan, Md Inc | |
|
44215 15th St W Ste 307 Lancaster CA 93534-5505 | |
| (661) 945-7181 | |
| (661) 942-6008 |
| Full Name | Sethu V. Madhavan, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44215 15th St W Ste 307, Lancaster, California |
| Authorized Official Name and Position | Sethu V Madhavan (OWNER) |
| Authorized Official Contact | 6619457181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sethu V. Madhavan, Md Inc 44215 15th St W Ste 307 Lancaster CA 93534-5505 Ph: (661) 945-7181 | Sethu V. Madhavan, Md Inc 44215 15th St W Ste 307 Lancaster CA 93534-5505 Ph: (661) 945-7181 |
| NPI Number | 1306986328 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 7012096506 |
|---|---|
| Medicare Enrollment ID | O20080508000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306986328 | NPI | - | NPPES |
| 00A381040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A38104 (California) | Primary |
| Provider Name | Sethu V Madhavan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194732230 PECOS PAC ID: 8820901671 Enrollment ID: I20031107000706 |
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