Provider / Organization | NPI | Date Certified |
---|---|---|
OMAR BABA | 1548992928 | 2022-06-25 |
Omar Baba is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548992928. Registration indicates Omar Baba is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Pathology (Pathology Clinical Informatics, Allopathic & Osteopathic Physicians) (Pathology, )
Entity Type | Individual |
Provider Name | Dr. Omar Baba MD |
Practice Office Address | 1350 W BETHUNE ST APT 1110 DETROIT, MI US |
Practice Office Telephone | 3137209509 |
Mailing Address | 1350 W BETHUNE ST APT 1110 DETROIT, MI 482022664 US |
Business Telephone | 3137209509 |
Code | Practice | License No State |
---|---|---|
207ZC0008X PRIMARY | Allopathic & Osteopathic Physicians Pathology Pathology Clinical Informatics Allopathic & Osteopathic Physicians Pathology | 4352001065
MI |