Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35.091456 | OH |
NPI | 1063673986 |
---|---|
Provider Name | Dr. Maja Babic |
First Address | Portsmouth, OH 45662-2677 |
Second Address | Portsmouth, OH 45662-2677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 16/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2896979 | (05) | OH |