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General NPI Number Information
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NPI Number | 1457322794
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Entity Type | Individual
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Provider Name | ARTI MADHAVAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 21816 W 11 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3724
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Country | US
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Telephone | 248-375-4040
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Fax | 248-375-4044
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Provider Business Mailing Address
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Address Line | 1395 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5710
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Country | US
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Telephone | 305-628-6117
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Fax | 305-393-5989
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301069572
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License Number State | MI
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