Individual provider · Type 1 NPI
Jay B. Madhure, MD
Adolescent Medicine (Family Medicine) Physician · Granada Hills, CA
NPI number
1770518714
Active
Practice location
16281 San Fernando Mission Blvd
Granada Hills, CA 91344-3725
Fax (818) 366-7479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | A33612 (CA) |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
About NPI 1770518714
Jay B. Madhure, MD's National Provider Identifier is 1770518714, issued on Jul 11, 2006. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Granada Hills, CA. The record was last updated on Aug 20, 2016.