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Contact Information

MADHAV LAVU, MD
5225 23RD AVE S
FARGO, ND58104
 Phone: 701-417-2575
 Fax: 701-417-2535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MADHAV LAVU · (Male)

NPI # 1447459193
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2007
Last updated 03/25/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KY License # TP769
  • ND License # 16581
Hospital affiliation(s)
  • LAKE REGION HEALTHCARE CORPORATION - (Acute Care)
    712 SOUTH CASCADE
    FERGUS FALLS, MN 56537
  • PERHAM MEMORIAL HOSPITAL & HOME - (Critical Access)
    1000 CONEY STREET WEST
    PERHAM, MN 56573
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
  • SANFORD MEDICAL CENTER THIEF RIVER FALLS - (Critical Access)
    120 LABREE AVENUE SOUTH
    THIEF RIVER FALLS, MN 56701
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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