Provider Demographics
NPI:1730448341
Name:AMR BADAWY MD INC
Entity type:Organization
Organization Name:AMR BADAWY MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:H
Authorized Official - Last Name:BADAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-973-6140
Mailing Address - Street 1:8200 STOCKDALE HWY # 311
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1091
Mailing Address - Country:US
Mailing Address - Phone:267-973-6140
Mailing Address - Fax:
Practice Address - Street 1:2828 H ST STE E
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1900
Practice Address - Country:US
Practice Address - Phone:661-335-7755
Practice Address - Fax:661-335-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83908208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty