Provider Demographics
NPI:1962027359
Name:MADAN, RASHIL SINGH (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:RASHIL
Middle Name:SINGH
Last Name:MADAN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 PROMENADE ST APT 343
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-5771
Mailing Address - Country:US
Mailing Address - Phone:980-939-3888
Mailing Address - Fax:
Practice Address - Street 1:45 MARIANO S BISHOP BLVD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2346
Practice Address - Country:US
Practice Address - Phone:508-674-6800
Practice Address - Fax:508-674-6868
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18587311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice