Individual
VIKRANT BADHWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374
(602) 478-3100
Mailing address
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374
(602) 478-3100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R81666
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/19/2025
Last updated
08/13/2025
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