Provider Demographics
NPI:1609897503
Name:BABIKER, MUZAMIL E (MD)
Entity Type:Individual
Prefix:MR
First Name:MUZAMIL
Middle Name:E
Last Name:BABIKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 CHRISTINE AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4658
Mailing Address - Country:US
Mailing Address - Phone:256-237-2351
Mailing Address - Fax:256-237-2350
Practice Address - Street 1:1112 CHRISTINE AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-237-2351
Practice Address - Fax:256-237-2350
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026088207R00000X
AL26088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-47646OtherBLUE CROSS BLUE SHIELD
AL1609897503Medicaid
AL510-47924OtherBLUE CROSS BLUE SHIELD
AL510-47646OtherBLUE CROSS BLUE SHIELD
AL510I110126Medicare PIN