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NPI Code Detail

MEDICARE: AURORA S BADAVI MD

MEDICARE: AURORA S BADAVI 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
1208000000XPediatrics Physician0101049803VA

General Provider Information

NPI Number : 1942289822
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURORA S BADAVI MD
Provider Business Mailing Address
First Line : 4714 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2247
Country : US
Telephone Number : 757-380-8709
Fax Number : 757-928-0902
Provider Business Practice Location Address
First Line : 4714 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2247
Country : US
Telephone Number : 757-380-8709
Fax Number : 757-928-0902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 08/21/2007

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