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Contact Information

MADHAB LAMICHHANE, MD
14605 POTOMAC BRANCH DR STE 210
WOODBRIDGE, VA22191-3337
 Phone: 703-780-9014
 Fax: 703-780-9077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MADHAB LAMICHHANE · (Male)

NPI Number 1932302098
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2007
Last updated 09/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.123006
  • IL License # 125050611
  • MI License # 4301098068
  • VA License # 0101264702
  • WI License # 67204
  • MI Medicaid 1932302098
  • IL Other 809840 MEDICARE GROUP PTAN
  • IL Other 125-050611 PHYSICIAN TEMPORARY LICEN
  • IL Other 036.123006 STATE OF ILLINOIS DFPR PHYSICIAN LICENSURE
  • MI Other 4301098068 PHYSICIAN LICENSE, BOARD OF MEDICINE
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER - (Acute Care)
    750 EAST ADAMS STREET
    SYRACUSE, NY 13210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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