Badaruddin, Rose Benigna
Badaruddin, Rose Benigna is an individual health care provider with primary practice located at 1700 Tree Lane Rd Suite 160, Snellville GA 30078-6782. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Badaruddin, Rose Benigna can be contacted via phone (770) 979-3989.Contact Information
Primary practice address
1700 Tree Lane Rd Suite 160
Snellville GA 30078-6782
Phone: (770) 979-3989
Fax: (770) 979-4330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 020401 | Georgia |
Profile Details
| NPI number | 1528017332 |
|---|---|
| LBN Legal business name | Badaruddin, Rose Benigna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528017332 | NPPES |
| Georgia | MEDICAID | 000553616 |
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