Healthcare Provider Details

I. General information

NPI: 1891749305
Provider Name (Legal Business Name): MUHAMMAD BABAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 FARNSLEY RD
LOUISVILLE KY
40216-4701
US

IV. Provider business mailing address

PO BOX 8133
LOUISVILLE KY
40257-8133
US

V. Phone/Fax

Practice location:
  • Phone: 502-544-8293
  • Fax:
Mailing address:
  • Phone: 502-544-8293
  • Fax: 502-543-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number38794
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number38794
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number38794
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: