Provider Demographics
NPI:1003262288
Name:MANMADHAN, ARUN (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:MANMADHAN
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 1:51 W 51ST ST STE 330
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1951
Mailing Address - Country:US
Mailing Address - Phone:212-326-8920
Mailing Address - Fax:212-326-8925
Practice Address - Street 1:51 W 51ST ST STE 330
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1951
Practice Address - Country:US
Practice Address - Phone:212-326-8920
Practice Address - Fax:212-326-8925
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292035207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease