Badrossadat Madani in Monroe - Adolescent Medicine
Badrossadat Madani - NPI 1205973708
Badrossadat Madani is a Adolescent Medicine in Monroe, Washington. Badrossadat Madani practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Badrossadat Madani is 1205973708. The last update date is 2007-07-08.
Badrossadat Madani's current location address is 14701 179th Ave Se, Monroe, Washington. You can contact this provider via phone number 3608634664 and fax number 3608604663. The mailing address for Badrossadat Madani is 14701 179th Ave Se, Monroe, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Badrossadat Madani |
|---|---|
| Address | 14701 179th Ave Se, Monroe, Washington |
| Phone Number | 3608634664 |
| Fax Number | 3608604663 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205973708 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14701 179th Ave Se |
|---|---|
| City | Monroe |
| State | Washington (WA) |
| Post Code | 982721108 |
| Phone Number | 3608634664 |
| Fax Number | 3608604663 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | MD00030585 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8157729 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Badrossadat Madani by the Centers for Medicare & Medicaid Services?
The Badrossadat Madani has been issued the NPI (National Provider Identifier) 1205973708 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Badrossadat Madani is physically located?
The Badrossadat Madani is physically situated at the following address: 14701 179Th Ave Se, Monroe, WA, 982721108.
What is Badrossadat Madani's specialized field of practice, and what is the corresponding taxonomy classification code?
The Badrossadat Madani's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When did the Badrossadat Madani receive its 1205973708?
The Badrossadat Madani was issued its 1205973708 on 2007-01-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Badrossadat Madani, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Badrossadat Madani, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.