Provider Demographics
NPI:1417197179
Name:MADHAVAN, KARTHIK HS (MD)
Entity type:Individual
Prefix:DR
First Name:KARTHIK
Middle Name:HS
Last Name:MADHAVAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:2339 ROUTE 70 W STE 400
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3315
Practice Address - Country:US
Practice Address - Phone:856-546-8525
Practice Address - Fax:856-968-8222
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA11903000207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery