Baba Physicians Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BABA PHYSICIANS GROUP, INC.

Practice address

948 S Wickham Rd Ste 101
Melbourne, FL 32904-1647

Phone

(321) 956-7370

Fax

(321) 956-7873

NPI assigned

Oct 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Geetha Priyanka, MD

Title

Chairman/ Medical Director

Phone

(321) 956-7370

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1629795166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370",
            "fax_number": "321-956-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370",
            "fax_number": "321-956-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABA PHYSICIANS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "PRIYANKA",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "CHAIRMAN/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-956-7370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257471300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER (NON-MEDICARE)",
            "identifier": "49252",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.