Sethu V. Madhavan, MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A38104 Issued in CA

Legal business name

SETHU V. MADHAVAN, MD INC

Practice address

44215 15TH St W Ste 307
Lancaster, CA 93534-5505

Phone

(661) 945-7181

Fax

(661) 942-6008

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sethu V Madhavan, M.D.

Title

Owner

Phone

(661) 945-7181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1306986328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 307",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345505",
            "telephone_number": "661-945-7181",
            "fax_number": "661-942-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 307",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345505",
            "telephone_number": "661-945-7181",
            "fax_number": "661-942-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETHU V. MADHAVAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MADHAVAN",
        "authorized_official_first_name": "SETHU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-945-7181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A38104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A381040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.