Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 20A12502 | CA |
NPI | 1013207547 |
---|---|
Provider Name | Sonia Louise Badheka |
First Address | Oakland, CA 94611-4753 |
Second Address | Castro Valley, CA 94546-5305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 07/03/2016 |