Baddam, Kavitha

Baddam, Kavitha is an individual health care provider with primary practice located at 1515 W Atherton Rd , Flint MI 48507-5300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Baddam, Kavitha can be contacted via phone (810) 762-1020.

Contact Information

Primary practice address
1515 W Atherton Rd Flint MI 48507-5300
Phone: (810) 762-1020
Fax: (810) 762-1042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301073879 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301073879 Michigan

Profile Details

NPI number 1790764553
LBN Legal business name Baddam, Kavitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 19th, 2014 - about 10 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 1790764553 NPPES
Michigan MEDICAID 4428736
Michigan MEDICAID 4429751
Michigan Other KB073879
Michigan MEDICAID 4428727

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