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General NPI Number Information
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NPI Number | 1548601925
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Entity Type | Organization
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Legal Business Name | BADIYAN PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 11500 HIGHWAY 121 SUITE 1010
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-219-8400
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Fax | 972-219-5331
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Provider Business Mailing Address
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Address Line | 11500 HIGHWAY 121 SUITE 1010
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-219-8400
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Fax | 972-219-5331
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAMIM JUSTIN BADIYAN
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Credential | M.D.
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Telephone | 972-897-9859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | N8075
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License Number State | TX
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