Provider Demographics
NPI:1073583787
Name:BABITT, KAREN LISA (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LISA
Last Name:BABITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 GREENE TREE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-7109
Mailing Address - Country:US
Mailing Address - Phone:410-653-0366
Mailing Address - Fax:410-601-4759
Practice Address - Street 1:1838 GREENE TREE RD STE 300
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7109
Practice Address - Country:US
Practice Address - Phone:410-653-0366
Practice Address - Fax:410-601-4759
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403159800Medicaid
H97488Medicare UPIN
MD403159800Medicaid