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Individual

DR. RAJESH BABU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PKWY STE 210, LAKEWAY, TX 78738-1793
(512) 571-5000
Mailing address
PO BOX 844658, DALLAS, TX 75284-0035

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3567
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L3567
TX
207RP1001X
Pulmonary Disease Physician
Primary
L3567
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8K5384
RR MCR
TX
01
8M1549
BCBS
TX
01
8V4802
BCBS
TX
Enumeration date
07/23/2006
Last updated
12/03/2021
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