Provider Demographics
NPI:1942829742
Name:BADSHAH, MASHOOD BIN (MD)
Entity Type:Individual
Prefix:
First Name:MASHOOD
Middle Name:BIN
Last Name:BADSHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 FOXRIDGE DR APT 304
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4542
Mailing Address - Country:US
Mailing Address - Phone:516-605-5175
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-1554
Practice Address - Country:US
Practice Address - Phone:913-588-6009
Practice Address - Fax:913-588-3987
Is Sole Proprietor?:No
Enumeration Date:2020-04-11
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program