Provider Demographics
NPI:1295947786
Name:BADIR, MAHER M (MD)
Entity type:Individual
Prefix:
First Name:MAHER
Middle Name:M
Last Name:BADIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 BUSHWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 BUSHWOOD CIRCLE
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-0512
Practice Address - Country:US
Practice Address - Phone:949-338-4908
Practice Address - Fax:949-481-7070
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA49748207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02157Medicare UPIN