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NPI Code Detail

MEDICARE: MADISON HOLLAND MD

MEDICARE: MADISON HOLLAND MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922947811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON HOLLAND MD
Provider Business Mailing Address
First Line : 7601 HOSPITAL DR STE 103
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5408
Country : US
Telephone Number : 916-681-1600
Fax Number :
Provider Business Practice Location Address
First Line : 7601 HOSPITAL DR STE 103
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5408
Country : US
Telephone Number : 916-681-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ MADISON HOLLAND MD” Practice Location

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