Individual
MR. VASILIS C BABALIAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE STE F606, ATLANTA, GA 30322-1064
(404) 712-0131
Mailing address
1365 CLIFTON ROAD NE, ATLANTA, GA 30322-1013
(404) 778-5299
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
044160
GA
207RI0011X
Interventional Cardiology Physician
Primary
44160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625147
UNITED HEALTHCARE OF GA
GA
05
—
407100453198
—
GA
01
—
945891
BLUESHIELD BILLING CODE
GA
Enumeration date
05/05/2006
Last updated
09/29/2015
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