MEDICARE: ANDA BADEA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M2545	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8U3449	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1255439634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDA BADEA MD

Provider Business Mailing Address
First Line	:	PO BOX 1500
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48376-1500
Country	:	US
Telephone Number	:	248-324-0700
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	7322 SOUTHWEST FWY
Second Line	:	160
City	:	HOUSTON
State	:	TX
Zip	:	77074-2010
Country	:	US
Telephone Number	:	713-874-0012
Fax Number	:	713-532-5756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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Directions to “ ANDA BADEA MD” Practice Location

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