Provider Demographics
NPI:1720841083
Name:PASCUAL, MADELYN PAGDANGANAN (MD)
Entity Type:Individual
Prefix:MS
First Name:MADELYN
Middle Name:PAGDANGANAN
Last Name:PASCUAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1919 E. THOMAS RD BARROW NEUROLOGICAL INSTITUTE AT
Mailing Address - Street 2:PHOENIX CHILDREN'S HOSPITAL
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-933-3093
Mailing Address - Fax:602-933-4253
Practice Address - Street 1:1919 E. THOMAS RD BARROW NEUROLOGICAL INSTITUTE AT
Practice Address - Street 2:PHOENIX CHILDREN'S HOSPITAL
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-933-3093
Practice Address - Fax:602-933-4253
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
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Provider Licenses
StateLicense IDTaxonomies
AZ1133462084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology