Individual
FIRAS J AL BADARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1414
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 457-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083820
MI
207RC0000X
Cardiovascular Disease Physician
036131194
IL
207RC0000X
Cardiovascular Disease Physician
51029
MN
207UN0901X
Nuclear Cardiology Physician
Primary
036131194
IL
Other
Enumeration date
05/23/2007
Last updated
02/19/2016
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