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NPI Code Detail

MEDICARE: MR. VASILIS C BABALIAROS MD

MEDICARE: MR. VASILIS C BABALIAROS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician044160GA
2207RI0011XInterventional Cardiology Physician44160GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12625147OTHERGAUNITED HEALTHCARE OF GA
2945891OTHERGABLUESHIELD BILLING CODE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205884525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VASILIS C BABALIAROS MD
Provider Business Mailing Address
First Line : 1365 CLIFTON ROAD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1013
Country : US
Telephone Number : 404-778-5299
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE STE F606
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1064
Country : US
Telephone Number : 404-712-0131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 09/29/2015

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