Provider Demographics
NPI:1528393899
Name:GILANI, MADIHA ATIF (MBBS)
Entity Type:Individual
Prefix:DR
First Name:MADIHA
Middle Name:ATIF
Last Name:GILANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:MADIHA
Other - Middle Name:SHAHID
Other - Last Name:TUFAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5501 OLD YORK RD STE 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-3880
Mailing Address - Fax:
Practice Address - Street 1:834 CHESTNUT ST.
Practice Address - Street 2:SUIT 320, BEN FRANKLIN HOUSE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-955-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD448332207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program