MEDICARE: RAJAT MADAN M.D., PH.D.

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	207R00000X	Internal Medicine Physician	35.096037	OH
2	207RI0200X	Infectious Disease Physician	78797	AZ
3	207RI0200X	Infectious Disease Physician	35-096037	OH

General Provider Information

NPI Number	:	1164678777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJAT MADAN M.D., PH.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:	520-626-1251
Fax Number	:

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

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	04/14/2026

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