Dr. Amil H Badoolah, DO
Emergency Medicine in Bronx, NY. Individual provider (NPI-1).
NPI number1487946737
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1487946737
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amil H Badoolah
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2011
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 273699 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4422 3rd AveBronx, NY 10457-2545
Phone 718-960-9000
Mailing address
4422 3rd AveBronx, NY 10457-2545
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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