Badaru, Angelica

Badaru, Angelica is an individual health care provider with primary practice located at 2512 S 7Th St , Minneapolis MN 55454-1404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Badaru, Angelica can be contacted via phone (612) 365-6777.

Contact Information

Primary practice address
2512 S 7Th St Minneapolis MN 55454-1404
Fax: (612) 365-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD00046071 Washington
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 62953 Minnesota

Profile Details

NPI number 1407937766
LBN Legal business name Badaru, Angelica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 14th, 2017 - about 8 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 1407937766 NPPES
Other 341280 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8446379 INTERNAL ID-MOTOR VEHICLE ID

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