Organization
S L PRASAD BABU MD
Active
Other names
Professional Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAJJA L PRASAD BABU MD (OWNER)
(219) 324-5335
Entity
Organization
Contact information
Practice address
708 JEFFERSON AVE, LA PORTE, IN 46350-3349
(219) 324-5335
(219) 324-5335
Mailing address
708 JEFFERSON AVE, LA PORTE, IN 46350-3349
(219) 324-5335
(219) 324-5335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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