Individual
TANIA B. BABAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE STE 900, CHARLESTON, WV 25304-1223
(304) 388-5880
(304) 388-5858
Mailing address
3100 MACCORKLE AVE SE STE 900, CHARLESTON, WV 25304-1223
(304) 388-5880
(304) 388-5858
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
24078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018108
—
WV
01
—
WV5885A
MEDICARE PTAN
WV
Enumeration date
04/16/2008
Last updated
08/08/2019
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