Provider Demographics
NPI:1326629825
Name:BADAR, IFRA (MD)
Entity Type:Individual
Prefix:
First Name:IFRA
Middle Name:
Last Name:BADAR
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 1:655 W. 8TH STREET
Mailing Address - Street 2:CLINICAL CENTER BUILDING, 1ST FLOOR, BOX C 504
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209
Mailing Address - Country:US
Mailing Address - Phone:904-244-4889
Mailing Address - Fax:
Practice Address - Street 1:655 W. 8TH STREET
Practice Address - Street 2:CLINICAL CENTER BUILDING, 1ST FLOOR, BOX C 504
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209
Practice Address - Country:US
Practice Address - Phone:904-244-4889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program