Individual
DR. MAYUKH BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25875 SCIENCE PARK DR, BEACHWOOD, OH 44122-7304
(216) 448-0218
Mailing address
25875 SCIENCE PARK DR, BEACHWOOD, OH 44122-7304
(216) 448-0218
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-090970
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2842311
—
OH
01
—
P00646980
RAILROAD MEDICARE
OH
Enumeration date
10/17/2007
Last updated
10/10/2018
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