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NPI Code Detail

MEDICARE: AMIT BABRA MD

MEDICARE:   AMIT  BABRA  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
1207Q00000XFamily Medicine PhysicianRL15681ND
2207Q00000XFamily Medicine PhysicianD0094944MD

General Provider Information

NPI Number : 1275185159
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIT BABRA MD
Provider Business Mailing Address
First Line : PO BOX 22389
Second Line : PMB 82739
City : NASHVILLE
State : TN
Zip : 37202
Country : US
Telephone Number : 866-315-2626
Fax Number :
Provider Business Practice Location Address
First Line : 6660 SECURITY BLVD
Second Line :
City : WOODLAWN
State : MD
Zip : 21207-4012
Country : US
Telephone Number : 443-380-0552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 12/12/2023

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Directions to “ AMIT BABRA MD” Practice Location

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