Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 00000 | MO |
Y | 2080P0210X | Pediatric Nephrologist | 2011-01887 | NC |
N | 2080P0210X | Pediatric Nephrologist | 4301106558 | MI |
NPI | 1487800611 |
---|---|
Provider Name | Poornima Baddi |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 26/10/2020 |