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Individual

AMIT BABRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6660 SECURITY BLVD, WOODLAWN, MD 21207-4012
(443) 380-0552
Mailing address
PO BOX 22389, PMB 82739, NASHVILLE, TN 37202
(866) 315-2626

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0094944
MD
207Q00000X
Family Medicine Physician
RL15681
ND

Other

Enumeration date
07/11/2019
Last updated
12/12/2023
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