Provider Demographics
NPI:1144484007
Name:GIRI, BADRI (MD)
Entity type:Individual
Prefix:DR
First Name:BADRI
Middle Name:
Last Name:GIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 CRYSTAL SPRING AVE SW STE 300
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-2465
Mailing Address - Country:US
Mailing Address - Phone:540-985-8505
Mailing Address - Fax:540-344-3313
Practice Address - Street 1:2001 CRYSTAL SPRING AVE SW STE 300
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-2465
Practice Address - Country:US
Practice Address - Phone:540-985-8505
Practice Address - Fax:540-344-3313
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264551207RC0200X, 207RP1001X
TXP5976207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC324447Medicaid
SCGP1883OtherMEDICAID GROUP
SCGP4306OtherMEDICAID GROUP
SCGP4840OtherMEDICAID GROUP
SCGP1883OtherMEDICAID GROUP
SC7153Medicare PIN