Individual
SUNIL BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN 46804-4159
(260) 484-8830
(260) 483-1911
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(239) 236-2775
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01064887A
IN
207RX0202X
Medical Oncology Physician
Primary
01064887A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083731
ANTHEM
IN
01
—
000000565900
ANTHEM PIN
IN
01
—
000000693541
ANTHEM
IN
05
—
200901470
—
IN
05
—
3044904
—
OH
Enumeration date
04/04/2008
Last updated
05/15/2025
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