Provider Demographics
NPI:1093817272
Name:BABAR, NABILA (MD)
Entity type:Individual
Prefix:
First Name:NABILA
Middle Name:
Last Name:BABAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 LILA AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1683
Mailing Address - Country:US
Mailing Address - Phone:513-900-9578
Mailing Address - Fax:
Practice Address - Street 1:1717 MADISON AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-3330
Practice Address - Country:US
Practice Address - Phone:859-360-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067632207R00000X
KY467632083A0300X, 207R00000X
OH35-0676322083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0183073Medicaid
KY46763OtherKENTUCKY BOARD OF MEDICAL LICENSING
OH35067632OtherSTATE MEDICAL BOARD OHIO
IN01042848AOtherINDIANA PROFESSIONAL LICENSING