Provider Demographics
NPI:1407543416
Name:BABIKER, NADIR E
Entity Type:Individual
Prefix:
First Name:NADIR
Middle Name:E
Last Name:BABIKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N 7TH ST APT 215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5417
Mailing Address - Country:US
Mailing Address - Phone:517-303-3964
Mailing Address - Fax:
Practice Address - Street 1:3030 N 7TH ST APT 215
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5417
Practice Address - Country:US
Practice Address - Phone:517-303-3964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)