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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HUSAM ISSA BADAWIYA

Active Sole Proprietor

HUSAM ISSA BADAWIYA is a Private Vehicle healthcare provider located in RIVERSIDE, California. NPI 1780003012 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · RIVERSIDE, CA

Registration Details

NPI Number
1780003012
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2014 (12.349242201626 yrs)
Last Updated
Apr 15, 2014
Licenses
6PDZ412 (CA)
6SJH640 (CA)
Sole Proprietor
Yes

Practice Information

Address
17227 GROVE DR
RIVERSIDE, CA, 925036749
Browse CA providers · Browse ZIP 92503
Phone
9513530698
Primary Specialty
Private Vehicle
347C00000X
Additional Specialty
Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.