Ghumrawi, Badr Khalil

Ghumrawi, Badr Khalil is an individual health care provider with primary practice located at 43 San Simeon , Laguna Niguel CA 92677-7951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Ghumrawi, Badr Khalil can be contacted via phone (949) 495-5161.

Contact Information

Primary practice address
43 San Simeon Laguna Niguel CA 92677-7951
Phone: (949) 495-5161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X C51860 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C51860 California

Profile Details

NPI number 1013081322
LBN Legal business name Ghumrawi, Badr Khalil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Mar 16th, 2021 - about 5 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 1013081322 NPPES
Other 4132029 AETNA
MEDICAID 0231538 AETNA
Other 100430 AETNA
Other 000000129043 AETNA
Other 27174 AETNA
Other 71479 AETNA

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