Basic Information
Provider Information
NPI: 1306582382
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BADAR
FirstName: SANYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
Address2: 501 S. WASHINGTON AVE., SUITE 1000
City: SCRANTON
State: PA
PostalCode: 18505
CountryCode: US
TelephoneNumber: 5708663058
FaxNumber: 5703434800
Practice Location
Address1: 501 S. WASHINGTON AVE.
Address2:  
City: SCRANTON
State: PA
PostalCode: 18505
CountryCode: US
TelephoneNumber: 5708663058
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2022
LastUpdateDate: 05/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X PAY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


Home