Provider Demographics
NPI:1356376859
Name:DR M BADI ASBAHI APMC
Entity type:Organization
Organization Name:DR M BADI ASBAHI APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:BADI
Authorized Official - Last Name:ASHAHI
Authorized Official - Suffix:
Authorized Official - Credentials:PEDIATRICS
Authorized Official - Phone:225-664-8010
Mailing Address - Street 1:303 VETERANS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726
Mailing Address - Country:US
Mailing Address - Phone:225-664-8010
Mailing Address - Fax:225-664-8012
Practice Address - Street 1:303 VETERANS BLVD STE C
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726
Practice Address - Country:US
Practice Address - Phone:225-664-8010
Practice Address - Fax:225-664-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD-04169R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty