Provider Demographics
NPI:1689674400
Name:MADARAS, LASZLO IRWIN (MD)
Entity Type:Individual
Prefix:
First Name:LASZLO
Middle Name:IRWIN
Last Name:MADARAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4217
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058188L207P00000X, 207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherINFORMED
PA25-1716306OtherMULTIPLAN/PHCS
PA50045004OtherCAPITAL BLUECROSS
PA880526OtherHIGHMARK BLUESHIELD
PA1115577OtherAETNA HMO
PA1007307260034OtherMEDICAID GROUP #
PA2126897OtherMAMSI
PA50087167 (WH)OtherCAPITAL BLUECROSS
PAP002564OtherGATEWAY
PA25-1716306OtherGREATWEST HEALTHCARE
PA867633OtherMEDICARE GROUP #
PAMD058188LOtherLICENSE
PA160306OtherUNISON
PA25-1716306OtherDEVON
PA424478OtherHEALTHAMERICA
PA120420410OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherINTERGROUP
PAP00185479OtherRAILROAD MEDICARE
PA0015882350007Medicaid
PA25-1716306OtherHEALTHNET/TRICARE
PA5454389OtherAETNA NON-HMO
PAG920-0043/618285OtherCAREFIRST
PAG920-0043/618285OtherCAREFIRST
PA25-1716306OtherGREATWEST HEALTHCARE
PA50045004OtherCAPITAL BLUECROSS