Provider Demographics
NPI:1235115817
Name:NADKARNI, MADHURA BORKAR (PT)
Entity type:Individual
Prefix:MRS
First Name:MADHURA
Middle Name:BORKAR
Last Name:NADKARNI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:45149 PAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6663
Mailing Address - Country:US
Mailing Address - Phone:510-687-1475
Mailing Address - Fax:510-732-6551
Practice Address - Street 1:24301 SOUTHLAND DR
Practice Address - Street 2:SUITE #411
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1542
Practice Address - Country:US
Practice Address - Phone:510-732-6495
Practice Address - Fax:510-732-6551
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA26345OtherPHYSICAL THERAPY LIC
CA0PT263452Medicare PIN