Basic Information
| Provider Information | |||||||||
| NPI: | 1518340454 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BADE | ||||||||
| FirstName: | NAVEEN | ||||||||
| MiddleName: | KUMAR | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 522 E 11TH ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | ANNISTON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 362074770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562375302 | ||||||||
| FaxNumber: | 2562375368 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 MCCORKLE AVE SE | ||||||||
| Address2: | ROBERT C BYRD CLINCAL TRAINING CENTER, 4TH FLOOR | ||||||||
| City: | CHARLESTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 253041227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3043885590 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2015 | ||||||||
| LastUpdateDate: | 08/21/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 37316 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.