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NPI Code Detail

MEDICARE: BABA ABUDU MD PA

MEDICARE: BABA ABUDU MD PA
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
1207L00000XAnesthesiology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CH3542OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110535OTHERKSBCBS

General Provider Information

NPI Number : 1275510448
Entity Type Code : Organization
Provider Name (Legal Business Name) : BABA ABUDU MD PA
Provider Business Mailing Address
First Line : PO BOX 787
Second Line :
City : COFFEYVILLE
State : KS
Zip : 67337-0787
Country : US
Telephone Number : 316-685-8428
Fax Number :
Provider Business Practice Location Address
First Line : 1400 W 4TH ST
Second Line :
City : COFFEYVILLE
State : KS
Zip : 67337-3306
Country : US
Telephone Number : 620-251-1200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. BABA ABUDU
Credential : MD
Telephone Number : 316-685-8428
Provider Enumeration Date : 12/28/2005
Last Update Date : 08/22/2020

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Directions to “BABA ABUDU MD PA ” Practice Location

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