Individual
KHAIRAT BADRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 WHACTHEER AVENUE, PROVIDENCE, RI 02909
(401) 306-0357
(401) 306-0357
Mailing address
66 WHAT CHEER AVE, PROVIDENCE, RI 02909-4814
(401) 306-0357
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
001797950
RI
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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