Provider Demographics
NPI:1063439982
Name:BADREDDINE, RAMI JAMIL (MD)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:JAMIL
Last Name:BADREDDINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:624 QUAKER LN
Practice Address - Street 2:SUITE 105 C
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3832
Practice Address - Country:US
Practice Address - Phone:336-802-2105
Practice Address - Fax:336-802-2106
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2020-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN48827207RG0100X
NC2008-00811207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN581408000Medicaid
NC5912056Medicaid
NCP00846411OtherRR MEDICARE
MNP00338842Medicare ID - Type UnspecifiedRAILROAD
NCP00846411OtherRR MEDICARE
MN100000671Medicare ID - Type Unspecified
NC2073707AMedicare PIN