Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME73776 | FL |
NPI | 1215040621 |
---|---|
Provider Name | Dr. Keshava H Babu |
First Address | Tampa, FL 33603 |
Second Address | Tampa, FL 33603-3602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 29/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201050937 | TAX-ID (01) | FL |
253439800 | (05) | FL |