Provider Demographics
NPI:1366238610
Name:BABU, HISHAM MOHAMMED (MBBS)
Entity type:Individual
Prefix:MR
First Name:HISHAM MOHAMMED
Middle Name:
Last Name:BABU
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MACON & JOAN BROCK VHS AT OLD DOMINION UNIVERSITY -EVMS
Mailing Address - Street 2:P.O. BOX 1980, GRADUATE MEDICAL EDUCATION
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501
Mailing Address - Country:US
Mailing Address - Phone:757-446-5258
Mailing Address - Fax:
Practice Address - Street 1:825 FAIRFAX AVE, P.O. BOX 1980
Practice Address - Street 2:INTERNAL MEDICINE, HOFHEIMER HALL- 5TH FLOOR
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23501
Practice Address - Country:US
Practice Address - Phone:757-446-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program