Provider Demographics
NPI:1821670415
Name:BADRI, RAMIN
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:BADRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 CUTTING WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-4948
Mailing Address - Country:US
Mailing Address - Phone:916-879-0500
Mailing Address - Fax:
Practice Address - Street 1:722 CUTTING WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-4948
Practice Address - Country:US
Practice Address - Phone:916-879-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator