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NPI Code Detail

MEDICARE: DR. AHMED IE BADR MD

MEDICARE:  DR. AHMED IE BADR  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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA46393CA
2207RP1001XPulmonary Disease PhysicianA46393CA
3207R00000XInternal Medicine PhysicianA46393CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00294848OTHERCARAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508818253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMED IE BADR MD
Provider Business Mailing Address
First Line : PO BOX 2396
Second Line :
City : ANAHEIM
State : CA
Zip : 92814-0396
Country : US
Telephone Number : 714-995-2901
Fax Number : 714-995-5474
Provider Business Practice Location Address
First Line : 3055 W ORANGE AVE
Second Line : STE 103
City : ANAHEIM
State : CA
Zip : 92804-3152
Country : US
Telephone Number : 714-995-2901
Fax Number : 714-995-5474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/27/2016

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Directions to “ DR. AHMED IE BADR MD” Practice Location

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