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NPI Code Detail

MEDICARE: ALEXANDER D BABICH M.D.

MEDICARE: ALEXANDER D BABICH M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician105394MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1042938OTHERMOHEALTH ALLIANCE
21100680OTHERMOUNITED HEALTH CARE
3115599OTHERMOBLUE CROSS BLUE SHIELD
4393394OTHERMOHEALTHLINK
529381OTHERMOGROUP HEALTH PLAN
6F94708OTHERMOMERCY

General Provider Information

NPI Number : 1013990829
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER D BABICH M.D.
Provider Business Mailing Address
First Line : PO BOX 795083
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63179-0795
Country : US
Telephone Number : 314-821-8055
Fax Number : 314-821-1833
Provider Business Practice Location Address
First Line : 6420 CLAYTON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8202
Fax Number : 314-768-7145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 07/08/2007

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Practice Location Address:
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Practice Fax:
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1477541100 — JOHN G. ALEXANDER MD
Practice Location Address:
6420 CLAYTON RD
SAINT LOUIS, MO
63117-1811
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Practice Fax:
1821071978 — GUIHUA CAO M.D.
Practice Location Address:
6420 CLAYTON RD
SAINT LOUIS, MO
63117-1811
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1851374904 — JANUSZ WOLANIUK M.D.
Practice Location Address:
6420 CLAYTON RD
SAINT LOUIS, MO
63117-1811
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1801879937 — GLORIA OWEN MERENDA M.D.
Practice Location Address:
6420 CLAYTON RD
SAINT LOUIS, MO
63117-1811
Practice Phone: 314-768-8202
Practice Fax: 314-768-7145

Directions to “ ALEXANDER D BABICH M.D.” Practice Location

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