Provider Demographics
NPI:1538400932
Name:ALAA BABIKER MD PLLC
Entity type:Organization
Organization Name:ALAA BABIKER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:ELDIN
Authorized Official - Last Name:BABIKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-341-4885
Mailing Address - Street 1:2140 W 24TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8877
Mailing Address - Country:US
Mailing Address - Phone:928-341-4885
Mailing Address - Fax:928-782-1686
Practice Address - Street 1:2140 W 24TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8877
Practice Address - Country:US
Practice Address - Phone:928-341-4885
Practice Address - Fax:928-782-1686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-09
Last Update Date:2013-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty