Basic Information
| Provider Information | |||||||||
| NPI: | 1568410397 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MADAN | ||||||||
| FirstName: | KARAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1332 PIN OAK RD | ||||||||
| Address2: | |||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774946848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137147192 | ||||||||
| FaxNumber: | 7132633425 | ||||||||
| Practice Location | |||||||||
| Address1: | 15591 CREEK BEND DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774783381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
| FaxNumber: | 8325531337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 10/11/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | P6453 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 225100000X | 1231070 | TX | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 208VP0014X | P6453 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.