Individual
DR. KRISHNA RAO BADHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 424-4646
(718) 424-4348
Mailing address
28 NOEL LN, JERICHO, NY 11753-1316
(516) 353-4044
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
177666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011511995
—
NY
Enumeration date
05/25/2006
Last updated
04/06/2015
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