Individual
DR. SHRUTI BADHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2122 E HIGHLAND AVE STE 100, PHOENIX, AZ 85016-4740
(804) 283-3764
(480) 428-3377
Mailing address
2122 E HIGHLAND AVE STE 100, PHOENIX, AZ 85016-4740
(804) 283-3764
(480) 428-3377
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
005748
AZ
2084N0600X
Clinical Neurophysiology Physician
Primary
005748
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654521
—
AZ
Enumeration date
07/08/2008
Last updated
09/08/2025
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