Individual
DORGAM BADRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
123 GADWALL LN, MANLIUS, NY 13104-9395
(315) 350-4748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
286976
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
286976
NY
Other
Enumeration date
06/12/2012
Last updated
03/02/2020
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