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Individual

BADRI NATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
194796
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01762005
NY
01
020038452
RR MCR
NY
01
2400686
GHI
NY
01
4635221
CIGNA
NY
01
P773785
OXF
NY
Enumeration date
02/14/2007
Last updated
01/20/2011
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