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General NPI Number Information
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NPI Number | 1932302098
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Entity Type | Individual
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Provider Name | MADHAB LAMICHHANE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 14605 POTOMAC BRANCH DR STE 210
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3337
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Country | US
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Telephone | 703-780-9014
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Fax | 703-780-9077
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Provider Business Mailing Address
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Address Line | PO BOX 37174
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City | BALTIMORE
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State | MD
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Zip | 21297-3174
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Country | US
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Telephone | 571-423-5699
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Fax | 571-423-5698
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.123006
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 67204
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 0101264702
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301098068
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125050611
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License Number State | IL
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