Madani, Badrossadat
Madani, Badrossadat is an sole proprietor health care provider with primary practice located at 14701 179Th Ave Se , Monroe WA 98272-1108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Madani, Badrossadat can be contacted via phone (360) 863-4664.Contact Information
Primary practice address
14701 179Th Ave Se
Monroe WA 98272-1108
Phone: (360) 863-4664
Fax: (360) 860-4663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD00030585 | Washington |
Profile Details
| NPI number | 1205973708 |
|---|---|
| LBN Legal business name | Madani, Badrossadat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 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 | 1205973708 | NPPES |
| Washington | MEDICAID | 8157729 |
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