Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 62953 | MN |
N | 2080P0205X | Pediatric Endocrinologist | MD00046071 | WA |
NPI | 1407937766 |
---|---|
Provider Name | Angelica Badaru |
First Address | Seattle, WA 98105-3900 |
Second Address | Minneapolis, MN 55454-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 14/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
341280 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8446379 | (05) | WA |