Provider Demographics
NPI:1497068423
Name:BAGARIA, MADHU (MD)
Entity type:Individual
Prefix:
First Name:MADHU
Middle Name:
Last Name:BAGARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E 41ST ST RM 2002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6215
Mailing Address - Country:US
Mailing Address - Phone:646-481-4998
Mailing Address - Fax:
Practice Address - Street 1:18 E 41ST ST RM 2002
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6215
Practice Address - Country:US
Practice Address - Phone:646-481-4998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096090207V00000X
MN59649207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology