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1265466874

NPI Code Detail

MEDICARE: DR. LEENA BADHWAR M.D.

MEDICARE: DR. LEENA BADHWAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	TPME4602	FL
2	207R00000X	Internal Medicine Physician	DR.0069367	CO
3	207R00000X	Internal Medicine Physician	MD61342018	WA
4	207R00000X	Internal Medicine Physician	036.162198	IL
5	207R00000X	Internal Medicine Physician	57068	KY
6	207R00000X	Internal Medicine Physician	A53066	CA

General Provider Information

NPI Number	:	1265466874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEENA BADHWAR M.D.

Provider Business Mailing Address
First Line	:	1 CALIFORNIA ST STE 2300
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-5424
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:	415-504-1367

Provider Business Practice Location Address
First Line	:	1 CALIFORNIA ST STE 2300
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-5424
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:	415-504-1367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	12/19/2023

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Directions to “ DR. LEENA BADHWAR M.D.” Practice Location

Language	Start Address	Practice Location

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