NPI 1710422951 · live from the CMS NPI Registry
Martha Madhu Cornwell, PA-C
Physician Assistant in Bennington, VT. National Provider Identifier 1710422951, active.
NPI record
| NPI | 1710422951 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 357 Shields Dr, Bennington, VT 05201 |
| Practice phone | 802-447-1409 |
| Enumerated | December 26, 2016 |
| Last updated | November 20, 2020 |
| Sole proprietor | No |
| Other names | Madhu Khan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 055.0031326 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.