Provider Demographics
NPI:1730490053
Name:ALBADDAWI, EMAN H (MD)
Entity type:Individual
Prefix:DR
First Name:EMAN
Middle Name:H
Last Name:ALBADDAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMAN
Other - Middle Name:
Other - Last Name:ALBADDAWI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST FL 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3323
Practice Address - Fax:916-733-5383
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC171060207RP1001X
OH35-121344207R00000X
FLME139377207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine