Individual
DR. AHMED IE BADR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3055 W ORANGE AVE, STE 103, ANAHEIM, CA 92804-3152
(714) 995-2901
(714) 995-5474
Mailing address
PO BOX 2396, ANAHEIM, CA 92814-0396
(714) 995-2901
(714) 995-5474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A46393
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A46393
CA
207RP1001X
Pulmonary Disease Physician
A46393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A463930
—
CA
01
—
P00294848
RAILROAD
CA
Enumeration date
05/17/2006
Last updated
04/27/2016
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