Provider Demographics
NPI:1477533602
Name:BADVE, SEEMA ANIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:ANIL
Last Name:BADVE
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:PO BOX 1358
Mailing Address - Street 2:
Mailing Address - City:ESCATAWPA
Mailing Address - State:MS
Mailing Address - Zip Code:39552-1358
Mailing Address - Country:US
Mailing Address - Phone:228-475-1166
Mailing Address - Fax:228-475-9337
Practice Address - Street 1:8006 HIGHWAY 613
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39562-8200
Practice Address - Country:US
Practice Address - Phone:228-475-1166
Practice Address - Fax:228-475-9337
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026787207R00000X, 207Q00000X, 208M00000X
MS19919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL631400172Medicaid
MS02173754Medicaid
AL631400172Medicaid
ALI41565Medicare UPIN
AL051531564Medicare ID - Type Unspecified