Individual provider · NPI-1
Soumaya Bader, DPM
· Chesapeake, VA
NPI number1568982247
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1568982247
- Entity type
- Individual (NPI-1)
- Name
- Soumaya Bader
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2017
- Certification date
- Mar 31, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | 0103301296 | VA | Yes |
Other names
- Soumaya Badr (Other Name)
Practice location
632 Cedar Rd Ste BChesapeake, VA 23322-8376
Phone 757-547-0123
Mailing address
2023 Greenfield LnAllen, TX 75013-2964
Other practice locations
1076 Us Highway 17 S
Elizabeth City, NC 27909-7627
Elizabeth City, NC 27909-7627
Phone 252-333-3111
12141 Richmond Ave
Houston, TX 77082-2408
Houston, TX 77082-2408
Phone 281-531-4100
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