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Contact Information

AMANDA MADKOUR, PA
51-53 KENOSIA AVE
DANBURY, CT06810-2304
 Phone: 203-748-0330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for AMANDA MADKOUR · (Female)

NPI Number 1104898436
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/02/2006
Last updated 01/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001399
  • CT License # 52744
  • CT Other 290001399CT01 ANTHEM BC/BS
  • CT Other 139900 CONNECTCARE
  • CT Other P3188856 OXFORD
Hospital affiliation(s)
  • DANBURY HOSPITAL - (Acute Care)
    24 HOSPITAL AVE
    DANBURY, CT 06810
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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