Provider Demographics
NPI:1114248564
Name:BABU, NINA (DPM)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:BABU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 WHITNEY AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3691
Mailing Address - Country:US
Mailing Address - Phone:203-752-3100
Mailing Address - Fax:203-752-9291
Practice Address - Street 1:2200 WHITNEY AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3691
Practice Address - Country:US
Practice Address - Phone:203-752-3100
Practice Address - Fax:203-752-9291
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT869213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist