MEDICARE: BABAR K RAO 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	207N00000X	Dermatology Physician	A79859	CA
2	207ND0900X	Dermatopathology Physician	25MA07004000	NJ
3	207N00000X	Dermatology Physician	211630	NY
4	207N00000X	Dermatology Physician	25MA07004000	NJ

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	:	1447275904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BABAR K RAO MD

Provider Business Mailing Address
First Line	:	66 W GILBERT ST
Second Line	:	2ND FLOOR
City	:	TINTON FALLS
State	:	NJ
Zip	:	07701-4947
Country	:	US
Telephone Number	:	732-212-0051
Fax Number	:	732-212-0713

Provider Business Practice Location Address
First Line	:	35 E 35TH ST
Second Line	:	STE 208
City	:	NEW YORK
State	:	NY
Zip	:	10016-3823
Country	:	US
Telephone Number	:	212-684-6140
Fax Number	:	212-689-5748

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/09/2024

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Directions to “ BABAR K RAO MD” Practice Location

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