MEDICARE: DR. ABHINAV SRINIVASAN KOMANDUR MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	7804720	WI

General Provider Information

NPI Number	:	1942888540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABHINAV SRINIVASAN KOMANDUR MD, MPH

Provider Business Mailing Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-6237
Country	:	US
Telephone Number	:	608-263-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	05/13/2026

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