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NPI Code Detail

MEDICARE: WALI BADAR

MEDICARE: WALI BADAR
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
12085R0204XVascular & Interventional Radiology PhysicianW5258TX
22085R0202XDiagnostic Radiology PhysicianW5258TX

General Provider Information

NPI Number : 1508493339
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALI BADAR
Provider Business Mailing Address
First Line : 180 HARVESTER DR STE 110
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6686
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 05/13/2026

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Directions to “ WALI BADAR ” Practice Location

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