Rose Benigna Badaruddin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

020401 Issued in GA

Practice address

1700 Tree Lane Rd
Suite 160
Snellville, GA 30078-6782

Phone

(770) 979-3989

Fax

(770) 979-4330

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528017332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LANE RD",
            "address_2": "SUITE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786782",
            "telephone_number": "770-979-3989",
            "fax_number": "770-979-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LANE RD",
            "address_2": "SUITE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786782",
            "telephone_number": "770-979-3989",
            "fax_number": "770-979-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADARUDDIN",
        "first_name": "ROSE",
        "middle_name": "BENIGNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "020401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000553616",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bosede O Awoyinfa, RN
• Bolaji Ayantola
• Krishnaveni Ayyagari, NP
• Bacchus Private Home Care LLC
• Badar H Syed MD, PC
• Syed S Badaruddin, PA-C
• Olubukola Badejoh, FNP
• Aslhy Baez Olea, RBT
• Kyra Tate Bagby
• Zerill Costanilla Baguio, OT

• Pediatrics Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.