Individual
JOSEPH BABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
1111 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009-5433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301500627
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105677
MI
Other
Enumeration date
06/30/2014
Last updated
10/13/2022
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