Doctor Name: | VINAY MADAN |
NPI Number: | 1003826140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 040375 |
Business Practice Address: | 1 Sasco Hill Rd #2 Fairfield, CT - 068245670 |
Business Phone Number: | 2032560070 |
Business Fax Number: | 2032560077 |
Mailing Address: | 2001 Butterfield Rd, Suite 300 DOWNERS GROVE |
State: | IL |
Postal Code: | 605151050 |
Phone Number: | 6307252832 |
Fax Number: | 8774895993 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 040375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |