Healthcare Provider Details

I. General information

NPI: 1619408176
Provider Name (Legal Business Name): ANJALI BADAMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE STE 11
WASHINGTON DC
20017-2110
US

IV. Provider business mailing address

2661 RIVA RD STE 1030
ANNAPOLIS MD
21401-7131
US

V. Phone/Fax

Practice location:
  • Phone: 202-529-5200
  • Fax: 202-529-1476
Mailing address:
  • Phone: 664-354-5528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101275865
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD210002612
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: