MEDICARE: CELIN BABU

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	207Q00000X	Family Medicine Physician	F11190299	TX
2	363L00000X	Nurse Practitioner	AP144974	TX

General Provider Information

NPI Number	:	1619637162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIN BABU

Provider Business Mailing Address
First Line	:	5511 TWIN RIVERS LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7129
Country	:	US
Telephone Number	:	832-520-9501
Fax Number	:

Provider Business Practice Location Address
First Line	:	8408 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4702
Country	:	US
Telephone Number	:	713-776-2200
Fax Number	:

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

Provider Enumeration Date	:	12/25/2021
Last Update Date	:	04/20/2023

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Directions to “ CELIN BABU ” Practice Location

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