Individual provider · Type 1 NPI
Padmaja Madala, MD
Addiction Medicine (Family Medicine) Physician · Albany, NY
NPI number
1174710503
Active
Practice location
920 Lark Dr
Albany, NY 12207-1300
Fax (518) 242-4784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 246088 (NY) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 246088 (NY) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1174710503
Padmaja Madala, MD's National Provider Identifier is 1174710503, issued on Oct 1, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Albany, NY. The record was last updated on Nov 18, 2020.