Individual
DR. JOSE SALVILLA BADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Mailing address
3901 ZARING MILL CT, LOUISVILLE, KY 40241-3035
(502) 426-8924
(812) 282-4293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1047589A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
1047589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473520A
—
IN
Enumeration date
10/23/2006
Last updated
02/08/2024
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