Provider Demographics
NPI:1699854307
Name:MADAAN, ARVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:
Last Name:MADAAN
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 1:1532 INSURANCE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7229
Mailing Address - Country:US
Mailing Address - Phone:434-295-2727
Mailing Address - Fax:434-295-2777
Practice Address - Street 1:1532 INSURANCE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-7229
Practice Address - Country:US
Practice Address - Phone:434-295-2727
Practice Address - Fax:434-295-2777
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235894207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010075491Medicaid
VA144165OtherBLUE CROSS BLUE SHIELD
VA010075491Medicaid
H61671Medicare UPIN