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NPI Code Detail

MEDICARE: DR. AHMAD FARID BADERY M.D.

MEDICARE:  DR. AHMAD FARID BADERY  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
1208M00000XHospitalist Physician11481NV
2207R00000XInternal Medicine Physician11481NV

Other Identifiers

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

General Provider Information

NPI Number : 1386744266
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMAD FARID BADERY M.D.
Provider Business Mailing Address
First Line : 1350 E FLAMINGO RD
Second Line : #174
City : LAS VEGAS
State : NV
Zip : 89119-5263
Country : US
Telephone Number : 702-380-2048
Fax Number : 702-968-8637
Provider Business Practice Location Address
First Line : 2470 E FLAMINGO RD
Second Line : SUITE # D
City : LAS VEGAS
State : NV
Zip : 89121-5200
Country : US
Telephone Number : 702-380-2048
Fax Number : 702-968-8637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/03/2020

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Directions to “ DR. AHMAD FARID BADERY M.D.” Practice Location

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