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Contact Information

PURUSHOTHAMAN MADHU, MD
1265 E COLLEGE ST
PULASKI, TN38478-4541
 Phone: 931-363-7531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PURUSHOTHAMAN MADHU · (Male)

NPI # 1922110113
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 02/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 051976
  • NY License # 295558
  • TN License # 69971
  • TX License # FTL42125
  • TX License # N0935
  • GA Medicaid 916968941C
Hospital affiliation(s) Not Available
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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