Pavan Kiran Madadi
Pavan Kiran Madadi is an Internal Medicine in Montgomery, Alabama. Qualified in 1997, 29 years ago. Practices with Jackson Hospital and Clinic, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Alabama.
- Years since qualifying
- 29
- Licensed in
- AL
- In the registry since
- 2010
Practice location Address checks out
1725 Pine St Jackson HospitalMontgomery, AL 36106-1109
Phone: (334) 293-8067
Fax: (954) 367-8512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 30392 (AL) |
|---|
Record details
| NPI number | 1306178496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 1, 2010 |
| Last updated in NPPES | February 25, 2024 |
| Certification date | February 25, 2024 |
| Mailing address | 1725 Pine St, Jackson Hospital, Montgomery, AL 36106-1109 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Jackson Hospital And Clinic, Inc — 118 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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Gerald Lim, MD
1725 Pine St, Montgomery, AL 36106-1109 · (334) 293-8067
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Marguerite J. Barber-Owens
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Dr. Safala Maskey, MD
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