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NPI Code Detail

MEDICARE: SEP BADY M.D.

MEDICARE: SEP BADY M.D.
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
1207X00000XOrthopaedic Surgery PhysicianA88643CA

General Provider Information

NPI Number : 1710007760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEP BADY M.D.
Provider Business Mailing Address
First Line : PO BOX 50605
Second Line :
City : HENDERSON
State : NV
Zip : 89016-0605
Country : US
Telephone Number : 702-740-5327
Fax Number : 702-740-5328
Provider Business Practice Location Address
First Line : 7195 ADVANCED WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3691
Country : US
Telephone Number : 702-740-5327
Fax Number : 702-740-5328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 01/03/2022

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