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Individual
SHADI G BADRIEH
Active
Individual
SHADI G BADRIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003023196
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2003023196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183140
BCBS
—
05
—
208454801
—
MO
01
—
662090
HEALTHLINK
—
Enumeration date
06/21/2006
Last updated
04/14/2021
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