Organization
BABA HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA PRIYANKA MD (OWNER)
(321) 367-7822
Entity
Organization
Contact information
Practice address
948 S WICKHAM RD STE 101, WEST MELBOURNE, FL 32904-1647
(321) 956-7370
(321) 956-7873
Mailing address
948 S WICKHAM RD STE 101, WEST MELBOURNE, FL 32904-1647
(321) 956-7370
(321) 956-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257471300
—
FL
01
—
49252
BCBS
FL
Enumeration date
11/14/2006
Last updated
11/09/2023
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