Healthcare Provider Details

I. General information

NPI: 1821063595
Provider Name (Legal Business Name): RICHARD R. BABKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7226 LEE DEFOREST DR STE 102
COLUMBIA MD
21046-3239
US

IV. Provider business mailing address

7226 LEE DEFOREST DR STE 102
COLUMBIA MD
21046-3239
US

V. Phone/Fax

Practice location:
  • Phone: 410-730-6911
  • Fax: 410-730-1599
Mailing address:
  • Phone: 410-730-6911
  • Fax: 410-730-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD26343
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: