Healthcare Provider Details

I. General information

NPI: 1154537702
Provider Name (Legal Business Name): IRYNA SOPHIA HEPBURN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRYNA BABENKO M.D.

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 FREEDOM WAY STE 200
YORK PA
17402-8200
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-5120
  • Fax:
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD445530
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: