Nath, Badri

Nath, Badri is an individual health care provider with primary practice located at 4 Phyllis Drive , Patchogue NY 11772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nath, Badri can be contacted via phone (631) 289-4700.

Contact Information

Primary practice address
4 Phyllis Drive Patchogue NY 11772
Fax: (631) 289-4718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 194796 New York

Profile Details

NPI number 1154464949
LBN Legal business name Nath, Badri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jan 20th, 2011 - about 14 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 1154464949 NPPES
New York Other 020038452 RR MCR
New York Other P773785 RR MCR
New York MEDICAID 01762005 RR MCR
New York Other 4635221 RR MCR
New York Other 2400686 RR MCR

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