Provider Demographics
NPI:1083970263
Name:MADANY, BAHIJ HANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:BAHIJ
Middle Name:HANNA
Last Name:MADANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1130
Mailing Address - Country:US
Mailing Address - Phone:215-968-4439
Mailing Address - Fax:215-968-4439
Practice Address - Street 1:72 MAPLE LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1130
Practice Address - Country:US
Practice Address - Phone:215-968-4439
Practice Address - Fax:215-968-4439
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007099E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology