Doctor Name: | SONIA LOUISE BADHEKA |
NPI Number: | 1013207547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A12502 |
Business Practice Address: | 20101 Lake Chabot Rd 4th Floor Castro Valley, CA - 945465305 |
Business Phone Number: | 5102476330 |
Business Fax Number: | 5102476331 |
Mailing Address: | 4379 Howe St, Unit 3 OAKLAND |
State: | CA |
Postal Code: | 946114753 |
Phone Number: | 9492804856 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 20A12502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |