Organization
BABA PHYSICIANS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA PRIYANKA MD (CHAIRMAN/ MEDICAL DIRECTOR)
(321) 956-7370
Entity
Organization
Contact information
Practice address
948 S WICKHAM RD STE 101, MELBOURNE, FL 32904-1647
(321) 956-7370
(321) 956-7873
Mailing address
948 S WICKHAM RD STE 101, MELBOURNE, FL 32904-1647
(321) 956-7370
(321) 956-7873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257471300
—
FL
01
—
49252
OTHER (NON-MEDICARE)
FL
Enumeration date
10/25/2022
Last updated
10/25/2022
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