Provider Demographics
NPI:1700042017
Name:BADIGER, MALLIKARJUN (MD)
Entity type:Individual
Prefix:DR
First Name:MALLIKARJUN
Middle Name:
Last Name:BADIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MALLIKARJUN
Other - Middle Name:PUNDLEEK
Other - Last Name:BADIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CMR 402 BOX 129
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-1002
Mailing Address - Country:US
Mailing Address - Phone:314-541-5535
Mailing Address - Fax:
Practice Address - Street 1:UNIT 33100 BOX LANDSTUHL
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180-3100
Practice Address - Country:US
Practice Address - Phone:314-541-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP18452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry