Healthcare Provider Details

I. General information

NPI: 1316851090
Provider Name (Legal Business Name): NABIL BADRO, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 S HANOVER ST
BROOKLYN MD
21225-1233
US

IV. Provider business mailing address

3001 S HANOVER ST
BROOKLYN MD
21225-1233
US

V. Phone/Fax

Practice location:
  • Phone: 410-933-2424
  • Fax:
Mailing address:
  • Phone: 410-933-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIA W DEINLEIN
Title or Position: MANAGER
Credential:
Phone: 410-832-2520