1184655755 NPI number — BADHWAR ASSOCIATES, MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184655755 NPI number — BADHWAR ASSOCIATES, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BADHWAR ASSOCIATES, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BADHWAR ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184655755
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19135 ALLEN RD
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
BROWNSTOWN TWP
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48183-6813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-362-9032
Provider Business Mailing Address Fax Number:
734-362-9001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19135 ALLEN RD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
BROWNSTOWN TWP
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48183-6813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-362-9032
Provider Business Practice Location Address Fax Number:
734-362-9001
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BADHWAR
Authorized Official First Name:
MANMOHAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
734-362-9032

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110H217060 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 700H217060 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: CH7098 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: G05461 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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