Provider Demographics
NPI:1720040678
Name:BADAMI, JOHN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:BADAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:185 GENESEE ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-2199
Mailing Address - Country:US
Mailing Address - Phone:315-793-8806
Mailing Address - Fax:315-793-8046
Practice Address - Street 1:185 GENESEE ST
Practice Address - Street 2:SUITE 600
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-2199
Practice Address - Country:US
Practice Address - Phone:315-793-8806
Practice Address - Fax:315-793-8046
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1993912085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01564098Medicaid
NY199391-4OtherWORKERS COMP
NYP010199391OtherBLUECROSS BLUESHIELD
NY040426013868OtherFIDELIS
NY225085OtherMVP HEALTHCARE
NY100132868702OtherUHC CHILD HEALTH PLUS
NY300052028OtherRAIL ROAD MEDICARE
NY4198676OtherGHI
NY10040047OtherCDPHP
NY100132868702OtherUHC CHILD HEALTH PLUS
NY10040047OtherCDPHP
NY39162QMedicare ID - Type Unspecified