Basic Information
| Provider Information | |||||||||
| NPI: | 1326238510 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BADAWI | ||||||||
| FirstName: | RAMY | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD, MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 S BERETANIA ST | ||||||||
| Address2: | SUITE 601 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968132414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086918900 | ||||||||
| FaxNumber: | 8086918919 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 S BERETANIA ST | ||||||||
| Address2: | SUITE 601 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968132414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086918900 | ||||||||
| FaxNumber: | 8086918919 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2007 | ||||||||
| LastUpdateDate: | 09/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 20621 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 200979 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | MD.200979 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 3109651 | 01 | MS | CIGNA | OTHER | 6029055 | 01 | MS | HEALTHSPRING | OTHER | 00078037 | 05 | MS | MEDICAID | 1077178 | 05 | LA | MEDICAID | P00834355 | 01 | MS | RAILROAD MEDICARE | OTHER | 9425393 | 01 | MS | AETNA | OTHER |