Provider Demographics
NPI:1528403979
Name:BABARIA, ROMESH KUMAR C (CSA)
Entity Type:Individual
Prefix:DR
First Name:ROMESH KUMAR
Middle Name:C
Last Name:BABARIA
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 CIRCLEVIEW DR S
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3459
Mailing Address - Country:US
Mailing Address - Phone:972-514-7167
Mailing Address - Fax:972-514-3477
Practice Address - Street 1:645 CIRCLEVIEW DR S
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3459
Practice Address - Country:US
Practice Address - Phone:972-514-7167
Practice Address - Fax:972-514-3477
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3757246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3757OtherTEXAS