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Individual

DR. SHAMIM JUSTIN BADIYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11500 HIGHWAY 121, STE. 1010, FRISCO, TX 75035
(972) 219-8400
(972) 219-5331
Mailing address
11500 HIGHWAY 121, STE. 1010, FRISCO, TX 75035
(972) 219-8400
(972) 219-5331

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N8075
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287577501
TX
05
287577502
TX
05
287577503
TX
01
8CY297
BCBS
TX
Enumeration date
07/03/2007
Last updated
07/17/2025
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