MEDICARE: DR. RUBINA BATOOL BAKSH 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
1	208000000X	Pediatrics Physician	51539	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SCE608	OTHER	SC	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1417343286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBINA BATOOL BAKSH M.D.

Provider Business Mailing Address
First Line	:	2082 WOODRUFF RD UNIT A
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-5992
Country	:	US
Telephone Number	:	866-432-6178
Fax Number	:	828-348-0087

Provider Business Practice Location Address
First Line	:	2082 WOODRUFF RD UNIT A
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-5992
Country	:	US
Telephone Number	:	866-432-6178
Fax Number	:	828-348-0087

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

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	03/09/2026

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