Individual
VIJAY BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 SW 46TH CT STE 220&250, OCALA, FL 34474-5708
(352) 620-1980
Mailing address
4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME126127
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME126127
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME126127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016507700
—
FL
Enumeration date
06/10/2008
Last updated
04/26/2022
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