MEDICARE: BABJI P MESIPAM MD

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
1	207R00000X	Internal Medicine Physician	G78514	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174519425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BABJI P MESIPAM MD

Provider Business Mailing Address
First Line	:	PO BOX 50706
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93150-0706
Country	:	US
Telephone Number	:	805-963-3336
Fax Number	:	805-565-2046

Provider Business Practice Location Address
First Line	:	1478 E VALLEY RD
Second Line	:	#40
City	:	MONTECITO
State	:	CA
Zip	:	93108-1241
Country	:	US
Telephone Number	:	805-969-2166
Fax Number	:	805-565-2046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	02/14/2008

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Directions to “ BABJI P MESIPAM MD” Practice Location

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