Individual
DR. SHADI BADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAYLOR PLZ, SCOTT DEPARTMENT OF UROLOGY, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX 77030-3411
(713) 798-7303
(713) 798-5553
Mailing address
1 BAYLOR PLZ, SCOTT DEPARTMENT OF UROLOGY, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX 77030-3411
(713) 798-7303
(713) 798-5553
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BP10058440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655932
PHYSICIAN IN TRAINING PERMIT, PERMIT NUMBER : BP10058440
TX
Enumeration date
11/17/2016
Last updated
11/17/2016
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