Provider Demographics
NPI:1861467961
Name:BABU, ARUN N (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:N
Last Name:BABU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:87 GLOVER ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3321
Mailing Address - Country:US
Mailing Address - Phone:718-667-3800
Mailing Address - Fax:718-980-9281
Practice Address - Street 1:27 NEW DORP LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2322
Practice Address - Country:US
Practice Address - Phone:718-667-3597
Practice Address - Fax:718-667-3590
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY214605-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02168789Medicaid
NY375N4G2841Medicare PIN
NYH44203Medicare UPIN