Nath, Badri
Nath, Badri is an individual health care provider with primary practice located at 4 Phyllis Drive , Patchogue NY 11772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nath, Badri can be contacted via phone (631) 289-4700.Contact Information
Primary practice address
4 Phyllis Drive
Patchogue NY 11772
Phone: (631) 289-4700
Fax: (631) 289-4718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 194796 | New York |
Profile Details
| NPI number | 1154464949 |
|---|---|
| LBN Legal business name | Nath, Badri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jan 20th, 2011 - about 14 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 | 1154464949 | NPPES |
| New York | Other | 020038452 | RR MCR |
| New York | Other | P773785 | RR MCR |
| New York | MEDICAID | 01762005 | RR MCR |
| New York | Other | 4635221 | RR MCR |
| New York | Other | 2400686 | RR MCR |
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