# BABA ABUDU MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275510448
- **Authorized official:** DR. BABA ABUDU MD (PRESIDENT)
- **Authorized official phone:** (316) 685-8428

## Contact information

- **Practice address:** 1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
- **Practice address phone:** (620) 251-1200
- **Mailing address:** PO BOX 787, COFFEYVILLE, KS 67337-0787
- **Mailing address phone:** (316) 685-8428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110535 | BCBS | KS |
| 01 | — | CH3542 | RAILROAD MEDICARE | — |