Provider Demographics
NPI:1477600781
Name:ENGINEER, MADHU (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHU
Middle Name:
Last Name:ENGINEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7820 BALLANTYNE COMMONS PKWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2841
Mailing Address - Country:US
Mailing Address - Phone:704-341-2191
Mailing Address - Fax:704-341-2199
Practice Address - Street 1:7820 BALLANTYNE COMMONS PKWY
Practice Address - Street 2:SUITE 108
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2841
Practice Address - Country:US
Practice Address - Phone:704-341-2191
Practice Address - Fax:704-341-2199
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2012-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC343062084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry