MEDICARE: DR. RAFAL A BADRI 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	208600000X	Surgery Physician	35-050410	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	:	1356471916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAL A BADRI M.D.

Provider Business Mailing Address
First Line	:	14100 CEDAR RD
Second Line	:	SUITE 350
City	:	CLEVELAND
State	:	OH
Zip	:	44121-3212
Country	:	US
Telephone Number	:	216-291-1844
Fax Number	:	216-291-9466

Provider Business Practice Location Address
First Line	:	14100 CEDAR RD
Second Line	:	SUITE 350
City	:	CLEVELAND
State	:	OH
Zip	:	44121-3212
Country	:	US
Telephone Number	:	216-291-1844
Fax Number	:	216-291-9466

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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