| NPI | 1114476389 |
|---|---|
| Doing Business As | PHYSICIAN PRACTICE OF MADISON, PC |
| Entity Type | Organization |
| Authorized Contact | SHAHJAHAN SULTAN CEO 412-721-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 21500) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |