Healthcare Provider Details

I. General information

NPI: 1619317054
Provider Name (Legal Business Name): HANI A BADI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2013
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 MONROE ST UNIT 308
SYLVANIA OH
43560-2768
US

IV. Provider business mailing address

5700 MONROE ST UNIT 308
SYLVANIA OH
43560-2768
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-7555
  • Fax: 419-479-2696
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35.127767
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35127767
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35127767
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: