Badrudduja, Syed G

Badrudduja, Syed G is an sole proprietor health care provider with primary practice located at 400 University Dr Ste 203 , Prestonsburg KY 41653-1080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Badrudduja, Syed G can be contacted via phone (606) 886-8183.

Contact Information

Primary practice address
400 University Dr Ste 203 Prestonsburg KY 41653-1080
Phone: (606) 886-8183
Fax: (606) 886-0575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17825 Kentucky

Profile Details

NPI number 1225191885
LBN Legal business name Badrudduja, Syed G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225191885 NPPES
Kentucky Other 000000057545 BLUE CROSS PROVIDER NUMBE
Kentucky MEDICAID 65901951 BLUE CROSS PROVIDER NUMBE

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