Provider Demographics
NPI:1538100599
Name:BABARIA, ASHOKKUMAR R (MD)
Entity type:Individual
Prefix:
First Name:ASHOKKUMAR
Middle Name:R
Last Name:BABARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 QUAKERBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2823
Mailing Address - Country:US
Mailing Address - Phone:856-222-9669
Mailing Address - Fax:609-383-0376
Practice Address - Street 1:208 QUAKERBRIDGE CT
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2823
Practice Address - Country:US
Practice Address - Phone:856-222-9669
Practice Address - Fax:609-383-0376
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA481112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2451506Medicaid
NJD71660Medicare UPIN
NJ2451506Medicaid