Dr. Sam J Badran, MD
Obstetrics & Gynecology, Gynecology in Point Pleasant, WV. Individual provider (NPI-1).
NPI number1639745201
StatusActive
Last updated in NPPESJun 3, 2021
Details
- NPI
- 1639745201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sam J Badran
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- Jun 3, 2021
- Last updated
- Jun 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- 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 |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 30366 | WV | Yes |
Practice location
2520 Valley DrPoint Pleasant, WV 25550-2092
Phone 304-675-4340 · Fax 304-675-6911
Mailing address
4433 Roslyn RdDowners Grove, IL 60515-5804
Phone 773-818-2692
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