Shamiram Badal, M.D.
Family Medicine in South Bend, IN. Individual provider (NPI-1).
NPI number1760629307
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1760629307
- Entity type
- Individual (NPI-1)
- Name
- Shamiram Badal
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2009
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A113428 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 125053883 | IL |
Practice location
2930 W Cleveland RdSouth Bend, IN 46628-6090
Phone 574-335-8450 · Fax 574-335-0760
Mailing address
5215 Holy Cross PkwyMishawaka, IN 46545-1469
Phone 574-335-8700 · Fax 574-335-0760
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