DR. PRADEEP BADHWAR (NPI# 1558384768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558384768 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP BADHWAR |
| Credential | M.D |
| Practice Address |
Va Hospital 11201 Benton St Loma Linda CA 92357-0001 |
| Mailing Address |
2183 John Matich Dr Colton CA 92324-9548 |
| Practice Telephone | 9098257084 |
| Mailing Telephone | 9093702131 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
44689 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
VA HOSPITAL 11201 BENTON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1699129692 | Victor Francis Tamagna Hogen | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357 | 2016-04-16 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| Find all providers in zip 92357 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386875110 | Faculty Medical Group of Llusm | Radiology | 25455 Barton Rd Ste 107b, Loma Linda, CA 92354-3139 | 2009-07-28 |
| 1497986228 | Faculty Medical Group of Llusm | Radiology | 11370 Anderson St Ste 1700, Loma Linda, CA 92354-3450 | 2009-07-28 |
| 1487803946 | Erica Lynne Kinne | Radiology | 11234 Anderson St Rm 2605, Loma Linda University Medical Center, Loma Linda, CA 92354-2804 | 2008-09-09 |
| 1114930500 | Vy N. Vu | Radiology | Jerry L Pettis Memorial Center Radiology Dept, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-08-15 |
| 1740292937 | Chih-chiang Hsu | Radiology | Vallhcs, 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-08-13 |
| 1649294802 | Khin M Tint | Radiology | 114 Vamc 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-07-27 |
| 1760421432 | Thomas J Kelly | Radiology | 11234 Anderson St Ste B623, Loma Linda, CA 92354-2804 | 2006-06-06 |
| 1558317883 | Loma Linda University Radiology Medical Group Inc | Radiology | 25333 Barton Road, Loma Linda, CA 92354 | 2006-05-26 |
| 1255396479 | Loma Linda High Field Open Mri and Diagnostic Center Inc | Radiology | 10459 Mountain View Avenue, Suite E, Loma Linda, CA 92354 | 2006-04-19 |
| 1295718161 | William M. Kelly M.d., Inc. | Radiology | 11360 Mountain View Ave, Suite C, Loma Linda, CA 92354-3861 | 2005-11-23 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.