Most Relevant Information
Provider Data
| NPI Number: | 1003804097 |
| Provider Name: | MADHULATHA PAUL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | MD039044L |
Most Important Dates
| Enumeration Date: | 10/12/2005 |
| Last Updated: | 01/19/2010 |
Provider Practice Location
100 E LEHIGH AVE
MAB BLDG STE 105
PHILADELPHIA
PA
191251000
Practice Location Phone/Fax
| Phone: | 2157078496 |
| Fax: | 2157074086 |
Provider Mailing Location
PO BOX 827783
PHILADELPHIA
PA
191827783
Provider Mailing Phone/Fax
| Phone: | 2157078496 |
| Fax: | 2157074086 |
Suggested EMR
Psychiatry EMR