Individual
ALHASSAN M BADAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3155 E SOUTHERN AVE, SUITE 203, MESA, AZ 85204-5519
(480) 325-8173
(480) 325-8179
Mailing address
3155 E SOUTHERN AVE, SUITE 203, MESA, AZ 85204-5519
(480) 325-8173
(480) 325-8179
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
015928
ME
207RP1001X
Pulmonary Disease Physician
Primary
37982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04659
ANTHEM
ME
01
—
106988
MARTPOINT
ME
01
—
225114008
UNITED HEALTHCARE
ME
01
—
3320405
AETNA HMO
ME
01
—
693021
HRVPIL
ME
01
—
7153373
AETNA NON-HMO
ME
01
—
M1064102
CIGNA
ME
01
—
Z148046
PTAN MD ANDERSON
AZ
01
—
Z78334
GROUP PTAN
AZ
Enumeration date
07/08/2006
Last updated
01/09/2012
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