Provider Demographics
NPI:1477549087
Name:BADAMI, UMESHKUMAR ARVINDLAL (MD)
Entity type:Individual
Prefix:DR
First Name:UMESHKUMAR
Middle Name:ARVINDLAL
Last Name:BADAMI
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 1:4884 BERL DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2802
Mailing Address - Country:US
Mailing Address - Phone:989-583-4700
Mailing Address - Fax:989-497-9599
Practice Address - Street 1:4884 BERL DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2802
Practice Address - Country:US
Practice Address - Phone:989-497-9395
Practice Address - Fax:989-497-9599
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301050234207UN0901X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3473693Medicaid
MAUB050234OtherLICENSE #
M69150001Medicare ID - Type Unspecified
A73324Medicare UPIN