Provider Demographics
NPI:1184705501
Name:VAKILI, BABAK (MD)
Entity type:Individual
Prefix:
First Name:BABAK
Middle Name:
Last Name:VAKILI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4621 EASTPARK BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-2000
Practice Address - Country:US
Practice Address - Phone:608-914-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007396207V00000X, 207VF0040X, 2088F0040X
NJMA077964207V00000X, 2086S0122X
NJ25MA07796400207VF0040X, 2088F0040X
WI102645207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ60032176OtherHORIZON NJ HEALTH
NJ0047147Medicaid
NJ3687734OtherAETNA
NJ3K6122OtherHEALTHNET
DE223235UGNOtherHORIZON BC BS OF DE
NJ8988499OtherCIGNA
NJP3500220OtherOXFORD
DE1000036281Medicaid
DE1727563OtherAMERIHEALTH/DELAWARE
DE306494OtherCOVENTRY
NJ60022398OtherHORIZON NJ HEALTH
DE1000035674OtherDELAWARE PHYSICIANS
NJ2395668000OtherAMERIHEALTH/KEYSTONE/IBC
DE26634OtherCHRISTIANA HEALTH CARE
NJ2503150OtherUNITED HEALTH CARE
NJ42302OtherUNIVERISRY HEALTH PLAN
NJ086560DSQMedicare PIN
DE306494OtherCOVENTRY
NJ2395668000OtherAMERIHEALTH/KEYSTONE/IBC
DE1000035674OtherDELAWARE PHYSICIANS
DE223235UGNOtherHORIZON BC BS OF DE