MEDICARE: HEALTHY KIDZ

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1326785551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY KIDZ

Provider Business Mailing Address
First Line	:	10410 PARK RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6568
Country	:	US
Telephone Number	:	704-540-6860
Fax Number	:	704-659-4194

Provider Business Practice Location Address
First Line	:	10410 PARK RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6568
Country	:	US
Telephone Number	:	704-540-6860
Fax Number	:	704-659-4194

Authorized Official
Title or Position	:	MD
Name	:	POORNIMA BADDI
Credential	:	MD
Telephone Number	:	573-891-9127

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/21/2025

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Directions to “HEALTHY KIDZ ” Practice Location

Language	Start Address	Practice Location

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