Firas J Al Badarin, MD
Nuclear Medicine, Nuclear Cardiology in Carbondale, IL. Individual provider (NPI-1).
NPI number1093925737
StatusActive
Last updated in NPPESFeb 19, 2016
Details
- NPI
- 1093925737
- Entity type
- Individual (NPI-1)
- Name
- Firas J Al Badarin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Feb 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | 036131194 | IL | Yes |
| 207R00000X | Internal Medicine | 4301083820 | MI | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 51029 | MN | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 036131194 | IL |
Practice location
409 W Oak StCarbondale, IL 62901-1414
Phone 618-529-4455 · Fax 618-351-1287
Mailing address
Po Box 1105Indianapolis, IN 46206-1105
Phone 618-457-5200 · Fax 618-351-4821
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