Badrossadat Madani
Adolescent Medicine
14701 179th Ave Se
Monroe
, Washington 98272-1108
Badrossadat Madani
Adolescent Medicine
14701 179th Ave Se
Monroe
, Washington 98272-1108
(360) 860-4663
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Badrossadat Madani
- 14701 179th Ave Se
- Monroe, WA
- Zip : 98272-1108
- Fax : (360) 860-4663
- Phone : (360) 863-4664
Second Address
- Badrossadat Madani
- 14701 179th Ave Se
- Monroe, WA
- Zip : 98272-1108
- Fax : (360) 860-4663
- Phone : (360) 863-4664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD00030585 | WA |
National Provider Identifier
| NPI | 1205973708 |
|---|---|
| Provider Name | Badrossadat Madani |
| First Address | Monroe, WA 98272-1108 |
| Second Address | Monroe, WA 98272-1108 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8157729 | (05) | WA |
| G06620 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.