Active NPIIndividual providerSole proprietor

Omar Badri, MD

Dermatology, MOHS-Micrographic Surgery in Beverly, Massachusetts

NPI Number1740541275
Practice location
138 Conant St Ste 1, Beverly, MA 01915-1666
Fax
—
Last updated
June 19, 2019

Omar Badri is a Dermatology, MOHS-Micrographic Surgery based in Beverly, MA. Omar Badri practices in Beverly, MA and has the professional credentials of MD. The NPI Number for Omar Badri is 1740541275 and holds a License No. 278412 (MA). The current practice location address for Omar Badri is 138 Conant St Ste 1, Beverly, MA 01915-1666 and can be reached out via phone at 978-691-5690.

Provider Profile Details

NPI Number
1740541275
Provider Name
Omar Badri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
138 Conant St Ste 1, Beverly, MA 01915-1666
Phone Number
978-691-5690
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
Yes
Provider Enumeration Date
May 31, 2012
Last Update Date
June 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Conant St Ste 1
Beverly, MA 01915-1666
Zip
01915-1666
Phone Number
978-691-5690
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
593 Eddy St
Providence, RI 02903-4923
City
Providence
State
RI
Zip
02903-4923
Phone Number
401-444-4030
Fax Number
401-444-6182

License Information

License Number
278412
License State
MA
Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omar Badri, MD?

The NPI number of Omar Badri, MD is 1740541275. It was assigned on May 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Omar Badri, MD?

Omar Badri, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in MA under license number 278412.

Where does Omar Badri, MD practice?

The practice location is 138 Conant St Ste 1, Beverly, MA 01915-1666. The office can be reached at 978-691-5690 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740541275 directly on the NPPES registry website.

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