Provider Demographics
NPI:1356508956
Name:HENRY, MADHU LAKSHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHU
Middle Name:LAKSHMAN
Last Name:HENRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3300
Practice Address - Country:US
Practice Address - Phone:703-776-4001
Practice Address - Fax:703-776-7113
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101251713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA185133YZXXMedicare PIN