Healthcare Provider Details

I. General information

NPI: 1730448341
Provider Name (Legal Business Name): AMR BADAWY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 H ST STE E
BAKERSFIELD CA
93301-1900
US

IV. Provider business mailing address

8200 STOCKDALE HWY # 311
BAKERSFIELD CA
93311-1091
US

V. Phone/Fax

Practice location:
  • Phone: 661-335-7755
  • Fax: 661-335-7766
Mailing address:
  • Phone: 267-973-6140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA83908
License Number StateCA

VIII. Authorized Official

Name: AMR H BADAWY
Title or Position: PRESIDENT
Credential: MD
Phone: 267-973-6140