Organization
BABA ABUDU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABA ABUDU MD (PRESIDENT)
(316) 685-8428
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 251-1200
Mailing address
PO BOX 787, COFFEYVILLE, KS 67337-0787
(316) 685-8428
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110535
BCBS
KS
01
—
CH3542
RAILROAD MEDICARE
—
Enumeration date
12/28/2005
Last updated
08/22/2020
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