MEDICARE: T. KEMI BABAGBEMI 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	2085R0202X	Diagnostic Radiology Physician	213848	MA
2	2085U0001X	Diagnostic Ultrasound Physician	213848	MA
3	2085R0202X	Diagnostic Radiology Physician	241593	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J26037	OTHER	MA	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	245371	OTHER	MA	HARVARD PILGRIM HEALTH CA
4	213848	OTHER	MA	TUFT HEALTH CARE

General Provider Information

NPI Number	:	1447245097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	T. KEMI BABAGBEMI M.D.

Provider Business Mailing Address
First Line	:	425 E 61ST ST FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-8790
Country	:	US
Telephone Number	:	212-821-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E 68TH ST
Second Line	:	RADIOLOGY,CORNELL/NEW YORK PRESBYTERIAN
City	:	NEW YORK
State	:	NY
Zip	:	10021-4870
Country	:	US
Telephone Number	:	212-746-2520
Fax Number	:	212-746-8596

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	08/14/2023

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Directions to “ T. KEMI BABAGBEMI M.D.” Practice Location

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