Provider Demographics
NPI:1295027308
Name:BADHEY, SMITA KRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:SMITA
Middle Name:KRISHNA
Last Name:BADHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 NOEL LN
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1316
Mailing Address - Country:US
Mailing Address - Phone:516-938-2821
Mailing Address - Fax:
Practice Address - Street 1:28 NOEL LN
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1316
Practice Address - Country:US
Practice Address - Phone:516-938-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276220207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine