| Doctor Name: | MR. PETER A. BADUA |
| NPI Number: | 1053473496 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA12271 |
| Business Practice Address: | 1600 Carmelita Ave Burlingame, CA - 940104904 |
| Business Phone Number: | 4152210665 |
| Business Fax Number: | 4152210687 |
| Mailing Address: | 53 Cronin Dr, SANTA CLARA |
| State: | CA |
| Postal Code: | 950516719 |
| Phone Number: | 4089842455 |
| Fax Number: | 4089842456 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 12/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA12271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |