Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 057036 | NY |
N | 1223E0200X | Endodontist | 10745 | CT |
Y | 1223E0200X | Endodontist | 65249 | CA |
NPI | 1154680296 |
---|---|
Provider Name | Dr. Afshin Badii |
First Address | Rancho Cordova, CA 95670-5663 |
Second Address | Rancho Cordova, CA 95670-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2012 |
Last Update Date | 27/01/2021 |