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NPI Code Detail

MEDICARE: DR. SARAH BABAI M.D.

MEDICARE: DR. SARAH BABAI 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
1207VG0400XGynecology Physician35077215BOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790723104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH BABAI M.D.
Provider Business Mailing Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1352
Fax Number : 330-633-6068
Provider Business Practice Location Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1352
Fax Number : 330-633-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/08/2007

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