Provider Demographics
NPI:1689674400
Name:MADARAS, LASZLO IRWIN (MD)
Entity type:Individual
Prefix:
First Name:LASZLO
Middle Name:IRWIN
Last Name:MADARAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4217
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058188L207P00000X, 207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2126897OtherMAMSI
PA25-1716306OtherINTERGROUP
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherHEALTHNET/TRICARE
PA880526OtherHIGHMARK BLUESHIELD
PAP00185479OtherRAILROAD MEDICARE
PA1115577OtherAETNA HMO
PA50087167 (WH)OtherCAPITAL BLUECROSS
PAMD058188LOtherLICENSE
PA25-1716306OtherGREATWEST HEALTHCARE
PA25-1716306OtherDEVON
PA25-1716306OtherMULTIPLAN/PHCS
PA867633OtherMEDICARE GROUP #
PAP002564OtherGATEWAY
PA1007307260034OtherMEDICAID GROUP #
PA160306OtherUNISON
PA25-1716306OtherINFORMED
PA0015882350007Medicaid
PA120420410OtherDEPT OF LABOR
PA424478OtherHEALTHAMERICA
PA50045004OtherCAPITAL BLUECROSS
PA5454389OtherAETNA NON-HMO
PAG920-0043/618285OtherCAREFIRST
PAG920-0043/618285OtherCAREFIRST
PA25-1716306OtherGREATWEST HEALTHCARE
PA50045004OtherCAPITAL BLUECROSS