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NPI Code Detail

MEDICARE: DR. ROBERT DONALD BABYAR M.D.

MEDICARE: DR. ROBERT DONALD BABYAR 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
1207Q00000XFamily Medicine Physician27759AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZFQ31815OTHERMEDICARE
2ZFQ31820OTHERMEDICARE
303-1814OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558364646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DONALD BABYAR M.D.
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-974-6721
Provider Business Practice Location Address
First Line : 1705 W MAIN ST
Second Line :
City : MESA
State : AZ
Zip : 85201-6920
Country : US
Telephone Number : 480-964-2273
Fax Number : 480-718-9477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/02/2023

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