Provider Demographics
NPI:1235330481
Name:BABAYAN, ZARUHI V (MD)
Entity Type:Individual
Prefix:DR
First Name:ZARUHI
Middle Name:V
Last Name:BABAYAN
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 1:4612 N HABANA AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7101
Mailing Address - Country:US
Mailing Address - Phone:813-875-9000
Mailing Address - Fax:813-874-3278
Practice Address - Street 1:4612 N HABANA AVE FL 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7101
Practice Address - Country:US
Practice Address - Phone:813-875-9000
Practice Address - Fax:813-874-3278
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122345207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019841050001Medicaid
PAP00421427OtherRR MEDICARE PIN
PAGU039823OtherMEDICARE GROUP
NY02897698Medicaid
PAMD431723OtherMEDICAL LICENSE
FL014375800Medicaid
PACC9269OtherRR MEDICARE GROUP
FLIB929ZMedicare PIN
PA113816N8VMedicare PIN
PAMD431723OtherMEDICAL LICENSE
FLIB929YMedicare PIN