Provider Demographics
NPI:1972581973
Name:BABIN, AMY E (M D)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:BABIN
Suffix:
Gender:F
Credentials:M D
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:DAVID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M D
Mailing Address - Street 1:3311 PRESCOTT RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3900
Mailing Address - Country:US
Mailing Address - Phone:318-443-7222
Mailing Address - Fax:318-443-7641
Practice Address - Street 1:3311 PRESCOTT RD
Practice Address - Street 2:SUITE 410
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3900
Practice Address - Country:US
Practice Address - Phone:318-443-7222
Practice Address - Fax:318-443-7641
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024157207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1489301Medicaid
LA41407Medicare ID - Type Unspecified
LAH66750Medicare UPIN