Individual
DR. EVANGELOS V BADIAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1295 NW 14TH ST, MIAMI, FL 33125-1610
(305) 243-6704
Mailing address
1295 NW 14TH ST, MIAMI, FL 33125-1610
(305) 243-6704
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME65961
FL
207ND0900X
Dermatopathology Physician
MD09968
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020737
—
RI
Enumeration date
05/03/2006
Last updated
01/31/2014
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