Individual provider · NPI-1

Nawal Badran, M.D.

Hospitalist · Riverside, CA

NPI number1215209846
StatusActive
Last updated in NPPESDec 17, 2020

Details

NPI
1215209846
Entity type
Individual (NPI-1)
Name
Nawal Badran
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2012
Certification date
Dec 17, 2020
Last updated
Dec 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistA119387CAYes
207R00000X Internal MedicineA119387CA

Practice location

3865 Jackson St
Riverside, CA 92503-3919

Phone 714-676-3880

Mailing address

12223 Highland Ave
Ste. 106-526
Rancho Cucamonga, CA 91739-2574

Phone 714-676-3880

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