Healthcare Provider Details

I. General information

NPI: 1487830063
Provider Name (Legal Business Name): BADEIA A. MORSY M.D. MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 01/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 BLACK AVE SUITE G
PLEASANTON CA
94566-6142
US

IV. Provider business mailing address

4460 BLACK AVE SUITE G
PLEASANTON CA
94566-6142
US

V. Phone/Fax

Practice location:
  • Phone: 925-846-1123
  • Fax: 925-846-9372
Mailing address:
  • Phone: 925-846-1123
  • Fax: 925-846-9372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number207R00000X
License Number StateCA

VIII. Authorized Official

Name: DR. BADEIA ABDEL MORSY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 925-846-1123