Individual
MS. DIANA SHARON BADKOOBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 RUE DE LA VIE ST, SUITE 413, BATON ROUGE, LA 70817-5127
(225) 215-7442
Mailing address
1135 BRIARRIDGE DR, BATON ROUGE, LA 70810-5204
(225) 485-5455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61156996
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
03/29/2016
Last updated
09/30/2021
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