SearchRhode Island207PE0004X

Khairat Badru

NPI 1437027356 · on the registry since 2025 · sole proprietor

Practice

Address
66 Whactheer Avenue
Providence, RI 02909
Phone
(401) 306-0357
Fax
(401) 306-0357

Registry record

Primary taxonomy
207PE0004X
207PE0004X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island