MEDICARE: NUR BADSHAH MD

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	208600000X	Surgery Physician	804	NM
2	208600000X	Surgery Physician	35-095587	OH
3	207Q00000X	Family Medicine Physician	35.095587	OH
4	207QA0401X	Addiction Medicine (Family Medicine) Physician	35.095587	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265503700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NUR BADSHAH MD

Provider Business Mailing Address
First Line	:	2752 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224
Country	:	US
Telephone Number	:	614-784-0770
Fax Number	:	614-784-0777

Provider Business Practice Location Address
First Line	:	2752 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224
Country	:	US
Telephone Number	:	614-784-0770
Fax Number	:	614-784-0777

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/07/2025

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Directions to “ NUR BADSHAH MD” Practice Location

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