| Badru, Inc | |
|
521 W Main St Lebanon TN 37087-3460 | |
| (615) 547-6200 | |
| (615) 547-6202 |
| Full Name | Badru, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 521 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Alexander O Badru (MD/OWNER OF BADRU, INC) |
| Authorized Official Contact | 6155476200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Badru, Inc Po Box 1214 Lebanon TN 37088-1214 Ph: (615) 547-6200 | Badru, Inc 521 W Main St Lebanon TN 37087-3460 Ph: (615) 547-6200 |
| NPI Number | 1073781217 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 5496830341 |
|---|---|
| Medicare Enrollment ID | O20080317000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073781217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41138 (Tennessee) | Primary |
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