Provider Demographics
NPI:1558364646
Name:BABYAR, ROBERT DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DONALD
Last Name:BABYAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3033 N CENTRAL AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2808
Mailing Address - Country:US
Mailing Address - Phone:623-583-3001
Mailing Address - Fax:623-974-6721
Practice Address - Street 1:1705 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6920
Practice Address - Country:US
Practice Address - Phone:480-964-2273
Practice Address - Fax:480-718-9477
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27759207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZFQ31815OtherMEDICARE
ZFQ31820OtherMEDICARE
03-1814OtherMEDICARE
AZ589327Medicaid
03-1815OtherMEDICARE
ZFQ31815OtherMEDICARE
03-1820OtherMEDICARE
03-1828OtherMEDICARE
ZFQ31813OtherMEDICARE
03-1881OtherMEDICARE
03-1814OtherMEDICARE
03-1871OtherMEDICARE
ZFQ31814OtherMEDICARE
03-1815OtherMEDICARE