Individual
SOUMAYA BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
632 CEDAR RD STE B, CHESAPEAKE, VA 23322-8376
(757) 547-0123
Mailing address
2023 GREENFIELD LN, ALLEN, TX 75013-2964
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103301296
VA
Other
Enumeration date
06/22/2017
Last updated
04/01/2021
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