Organization
DR.BABU PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDDANA HARIBABU M.D. (PRESIDENT)
(508) 753-2240
Entity
Organization
Contact information
Practice address
10 WINTHROP ST, SUITE#319, WORCESTER, MA 01604-4435
(508) 753-2240
(508) 753-3990
Mailing address
10 WINTHROP ST, SUITE#319, WORCESTER, MA 01604-4435
(508) 753-2240
(508) 753-3990
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
637398
TUFTS HEALTHPLAN
MA
01
—
81046
FALLON COMMUNITY HEALTH
MA
01
—
96628301
NETWORK HEALTH
MA
05
—
9736590
—
MA
01
—
M18980
BLUECROSSBLUESHIELD
MA
Enumeration date
05/24/2007
Last updated
08/22/2020
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