Individual
MAYA A BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-8582
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
276769
MA
207T00000X
Neurological Surgery Physician
Primary
54037
MN
207T00000X
Neurological Surgery Physician
DR.0063329
CO
207T00000X
Neurological Surgery Physician
ME142972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105788200
—
FL
Enumeration date
06/25/2010
Last updated
02/21/2025
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