Healthcare Provider Details

I. General information

NPI: 1235525452
Provider Name (Legal Business Name): MADELINE ROSE KAYE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 N MOPAC EXPY STE 1200
AUSTIN TX
78731-3282
US

IV. Provider business mailing address

6500 N MOPAC EXPY STE 1200
AUSTIN TX
78731-3282
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0149
  • Fax:
Mailing address:
  • Phone: 512-451-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP 10053066
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberS2611
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: