Badiyan, Shamim Justin
Badiyan, Shamim Justin is an sole proprietor health care provider with primary practice located at 11500 Highway 121 Ste. 1010, Frisco TX 75035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Badiyan, Shamim Justin can be contacted via phone (972) 219-8400.Contact Information
Primary practice address
11500 Highway 121 Ste. 1010
Frisco TX 75035
Phone: (972) 219-8400
Fax: (972) 219-5331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | N8075 | Texas |
Profile Details
| NPI number | 1871791590 |
|---|---|
| LBN Legal business name | Badiyan, Shamim Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jun 22nd, 2021 - about 3 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 | 1871791590 | NPPES |
| Texas | Other | 8CY297 | BCBS |
| Texas | MEDICAID | 287577501 | BCBS |
| Texas | MEDICAID | 287577503 | BCBS |
| Texas | MEDICAID | 287577502 | BCBS |
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