Healthcare Provider Details

I. General information

NPI: 1689883449
Provider Name (Legal Business Name): BABAK GIVI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 34TH ST FL 7
NEW YORK NY
10016-4744
US

IV. Provider business mailing address

160 E 34TH ST FL 7
NEW YORK NY
10016-4744
US

V. Phone/Fax

Practice location:
  • Phone: 212-731-6655
  • Fax: 646-754-9917
Mailing address:
  • Phone: 212-731-6655
  • Fax: 646-754-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number249646
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number249646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: