Provider Demographics
NPI:1548601925
Name:BADIYAN PAIN MANAGEMENT PLLC
Entity type:Organization
Organization Name:BADIYAN PAIN MANAGEMENT PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:BADIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-897-9859
Mailing Address - Street 1:11500 HIGHWAY 121
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035
Mailing Address - Country:US
Mailing Address - Phone:972-219-8400
Mailing Address - Fax:972-219-5331
Practice Address - Street 1:11500 HIGHWAY 121
Practice Address - Street 2:SUITE 1010
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:972-219-8400
Practice Address - Fax:972-219-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8075207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty