| Angela Badra Do, Pc | |
|
204 W Exchange St Owosso MI 48867-2818 | |
| (989) 723-0046 | |
| (989) 723-0052 |
| Full Name | Angela Badra Do, Pc |
|---|---|
| Speciality | General Practice |
| Location | 204 W Exchange St, Owosso, Michigan |
| Authorized Official Name and Position | Angela Badra (OWNER) |
| Authorized Official Contact | 9897230046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Badra Do, Pc 204 W Exchange St Owosso MI 48867-2818 Ph: (989) 723-0046 | Angela Badra Do, Pc 204 W Exchange St Owosso MI 48867-2818 Ph: (989) 723-0046 |
| NPI Number | 1508077140 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 5395723985 |
|---|---|
| Medicare Enrollment ID | O20040709001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508077140 | NPI | - | NPPES |
| P00209171 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101012489 (Michigan) | Primary |
| Provider Name | Angela K Badra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295726081 PECOS PAC ID: 6406758093 Enrollment ID: I20040204000526 |
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