Provider Demographics
NPI:1487830063
Name:BADEIA A. MORSY M.D. MEDICAL CORPORATION
Entity type:Organization
Organization Name:BADEIA A. MORSY M.D. MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BADEIA
Authorized Official - Middle Name:ABDEL
Authorized Official - Last Name:MORSY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-846-1123
Mailing Address - Street 1:4460 BLACK AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6142
Mailing Address - Country:US
Mailing Address - Phone:925-846-1123
Mailing Address - Fax:925-846-9372
Practice Address - Street 1:4460 BLACK AVE
Practice Address - Street 2:SUITE G
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6142
Practice Address - Country:US
Practice Address - Phone:925-846-1123
Practice Address - Fax:925-846-9372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A667700OtherMEDICARE/NHIC
CAP00062374OtherRAILROAD MEDICARE
CA00A667700Medicaid
CA00A667700Medicaid