SOUMAYA BADER DPM NPI 1568982247

NPI Information

NPI: 1568982247
Provider Name: SOUMAYA BADER, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Organization: ACTIVE FOOT AND ANKLE OF CAROLINA PLLC

PECOS Registration: Yes

Address:
632 CEDAR RD STE B
CHESAPEAKE, VA
ZIP 23322
Phone: (757) 547-0123
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Soumaya Bader, DPM is a foot surgery podiatrist in Chesapeake, VA with 7 years of experience. Soumaya Bader, DPM NPI is 1568982247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2017

The provider's business location address is:

632 CEDAR RD STE B
CHESAPEAKE, VA
ZIP 23322-376
Phone: (757) 547-0123

The NPI 1568982247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/22/2017 and was last updated on 4/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	0103301296	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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