Individual provider · NPI-1
Leon T Babu, OD
Optometrist · Tempe, AZ
NPI number1871603647
StatusActive
Last updated in NPPESNov 8, 2011
Details
- NPI
- 1871603647
- Entity type
- Individual (NPI-1)
- Name
- Leon T Babu
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Nov 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0857 | AZ | Yes |
Other names
- L Thomas Babu (Professional Name)
Practice location
307 E Southern AveTempe, AZ 85282-5201
Phone 480-967-4801
Mailing address
307 E Southern AveTempe, AZ 85282-5201
Phone 480-967-4801
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