Healthcare Provider Details

I. General information

NPI: 1871759035
Provider Name (Legal Business Name): BADRIA ALBADER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8233 OLD COURTHOUSE RD STE 330
VIENNA VA
22182-3816
US

IV. Provider business mailing address

1525 LAUREL HILL ROAD
VIENNA VA
22182-1716
US

V. Phone/Fax

Practice location:
  • Phone: 703-953-6789
  • Fax:
Mailing address:
  • Phone: 703-817-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101246229
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: