Badrudduja, Syed G
Badrudduja, Syed G is an sole proprietor health care provider with primary practice located at 400 University Dr Ste 203 , Prestonsburg KY 41653-1080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Badrudduja, Syed G can be contacted via phone (606) 886-8183.Contact Information
Primary practice address
400 University Dr Ste 203
Prestonsburg KY 41653-1080
Phone: (606) 886-8183
Fax: (606) 886-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17825 | Kentucky |
Profile Details
| NPI number | 1225191885 |
|---|---|
| LBN Legal business name | Badrudduja, Syed G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Oct 29th, 2007 - about 18 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 | 1225191885 | NPPES |
| Kentucky | Other | 000000057545 | BLUE CROSS PROVIDER NUMBE |
| Kentucky | MEDICAID | 65901951 | BLUE CROSS PROVIDER NUMBE |
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