Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports |
NPI | 1073135448 |
---|---|
Provider Name | Dr. Charles Ramy Badawy |
First Address | Miami, FL 33133-4438 |
Second Address | Winston Salem, NC 27103-3032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2020 |
Last Update Date | 08/05/2020 |