Provider Demographics
NPI:1598903338
Name:BADOHU, RICHARD (RN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:BADOHU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10921 BROOKGREEN CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3106
Mailing Address - Country:US
Mailing Address - Phone:513-898-1002
Mailing Address - Fax:
Practice Address - Street 1:10921 BROOKGREEN CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3106
Practice Address - Country:US
Practice Address - Phone:513-898-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.346356163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health