Active NPIIndividual provider

Premalatha Babu, MD

Family Medicine in Portland, Maine

NPI Number1811573900
Practice location
100 Foden RD, Portland, ME 04106-2327
Fax
—
Last updated
October 28, 2024

Premalatha Babu is a Family Medicine based in Portland, ME. Premalatha Babu practices in Portland, ME and has the professional credentials of MD. The NPI Number for Premalatha Babu is 1811573900 and holds a License No. 390200000X (GA). The current practice location address for Premalatha Babu is 100 Foden RD, Portland, ME 04106-2327 and can be reached out via phone at 207-874-1489.

Provider Profile Details

NPI Number
1811573900
Provider Name
Premalatha Babu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Foden RD, Portland, ME 04106-2327
Phone Number
207-874-1489
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2021
Last Update Date
October 28, 2024
Certification Date
October 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Foden RD
Portland, ME 04106-2327
State
Maine
Zip
04106-2327
Phone Number
207-874-1489
Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
City
South Portland
State
ME
Zip
04106-5900

License Information

License Number (1)
390200000X
License State (1)
GA
License Number (2)
MD28276
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premalatha Babu, MD?

The NPI number of Premalatha Babu, MD is 1811573900. It was assigned on March 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Premalatha Babu, MD?

Premalatha Babu, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in GA under license number 390200000X.

Where does Premalatha Babu, MD practice?

The practice location is 100 Foden RD, Portland, ME 04106-2327. The office can be reached at 207-874-1489 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811573900 directly on the NPPES registry website.

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