Individual
DR. BADIAA EL-IMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
527 MEDICAL PARK DR STE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Mailing address
527 MEDICAL PARK DR STE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24743
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023285
—
WV
Enumeration date
11/26/2008
Last updated
12/13/2013
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