Provider Demographics
NPI:1952198103
Name:KUTTIKOTTAYIL BABU, ANJU
Entity type:Individual
Prefix:
First Name:ANJU
Middle Name:
Last Name:KUTTIKOTTAYIL BABU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
Mailing Address - Street 2:MEDICINE - BOX 50
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-572-6501
Mailing Address - Fax:
Practice Address - Street 1:2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program