Healthcare Provider Details

I. General information

NPI: 1851742191
Provider Name (Legal Business Name): AHMED BADAWI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 MADISON AVE FL 6
NEW YORK NY
10022-1251
US

IV. Provider business mailing address

635 MADISON AVE FL 6
NEW YORK NY
10022-1251
US

V. Phone/Fax

Practice location:
  • Phone: 212-988-2111
  • Fax: 877-389-3138
Mailing address:
  • Phone: 212-988-2111
  • Fax: 877-389-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA12274800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: