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Contact Information

BADRI NATH, MD
4 PHYLLIS DRIVE
PATCHOGUE, NY11772
 Phone: 631-289-4700
 Fax: 631-289-4718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BADRI NATH · (Male)

NPI Number 1154464949
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2007
Last updated 01/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 194796
  • NY Medicaid 01762005
  • NY Other 4635221 CIGNA
  • NY Other 2400686 GHI
  • NY Other P773785 OXF
  • NY Other 020038452 RR MCR
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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