Provider Demographics
NPI:1326238510
Name:BADAWI, RAMY A (MD, MBBS)
Entity Type:Individual
Prefix:
First Name:RAMY
Middle Name:A
Last Name:BADAWI
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 PAPU CIR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4840
Mailing Address - Country:US
Mailing Address - Phone:808-793-7747
Mailing Address - Fax:808-625-4808
Practice Address - Street 1:640 ULUKAHIKI ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4454
Practice Address - Country:US
Practice Address - Phone:808-793-7747
Practice Address - Fax:808-625-4808
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20621207RC0000X
LA200979207RC0000X
LAMD.200979207RI0011X
HIMD-16251207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00078037Medicaid
MSP00834355OtherRAILROAD MEDICARE
LA1077178Medicaid
MS3109651OtherCIGNA
MS6029055OtherHEALTHSPRING
MS9425393OtherAETNA
MS302I062339Medicare PIN
MS3109651OtherCIGNA