Provider Demographics
NPI:1659313104
Name:MADNANI, ANJU S (MD)
Entity type:Individual
Prefix:DR
First Name:ANJU
Middle Name:S
Last Name:MADNANI
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 1:300 MIDDLETOWN BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3202
Mailing Address - Country:US
Mailing Address - Phone:215-741-4410
Mailing Address - Fax:215-741-4470
Practice Address - Street 1:300 MIDDLETOWN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3202
Practice Address - Country:US
Practice Address - Phone:215-741-4410
Practice Address - Fax:215-741-4470
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431907207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology