Provider Demographics
NPI:1528241148
Name:NABILE BABAR, MD INTERNAL MEDICINE, LLC
Entity type:Organization
Organization Name:NABILE BABAR, MD INTERNAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NABILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-305-5500
Mailing Address - Street 1:5959 CAPEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7506
Mailing Address - Country:US
Mailing Address - Phone:513-305-5500
Mailing Address - Fax:513-541-3819
Practice Address - Street 1:5959 CAPEVIEW PL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7506
Practice Address - Country:US
Practice Address - Phone:513-305-5500
Practice Address - Fax:513-541-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0183073Medicaid
OHF91844Medicare UPIN