Individual
DR. SUHAS BADARINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2702 BACK ACRE CIR STE 290B, MOUNT AIRY, MD 21771-7769
(301) 703-8767
(301) 703-8766
Mailing address
1100 ROUTE 70, WHITING, NJ 08759-1003
(732) 849-0077
(732) 849-0015
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P20519
MD
208VP0000X
Pain Medicine Physician
D0078317
MD
208VP0000X
Pain Medicine Physician
ME155546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942898801
—
TX
01
—
8W5187
BLUE CROSS BLUE SHIELD OF TX
—
01
—
ME155546
STATE LICENSE
FL
Enumeration date
02/21/2007
Last updated
01/17/2024
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