Basic Information
| Provider Information | |||||||||
| NPI: | 1346229705 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BABARIA | ||||||||
| FirstName: | USHA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 230 N BROAD ST | ||||||||
| Address2: | MAILSTOP 200 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191021121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157628409 | ||||||||
| FaxNumber: | 2157628523 | ||||||||
| Practice Location | |||||||||
| Address1: | 230 N BROAD ST | ||||||||
| Address2: | MAILSTOP 200 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191021121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157628409 | ||||||||
| FaxNumber: | 2157628523 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2006 | ||||||||
| LastUpdateDate: | 05/14/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 25MA05794500 | NJ | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | MD037344L | PA | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | 3644764 | 01 | NJ | AETNA USHC | OTHER | 4342782 | 01 | NJ | CIGNA | OTHER | 153117 | 01 | NJ | AMERIHEALTH PPO | OTHER | 223782602 | 01 | NJ | HORIZON BCBS | OTHER | 2K7276 | 01 | NJ | HEALTHNET | OTHER | 0227439000 | 01 | NJ | AMERIHEALTH HMO | OTHER | 81968 | 01 | NJ | AMERIGROUP | OTHER | P2731602 | 01 | NJ | OXFORD HEALTH | OTHER | 5360307 | 05 | NJ | MEDICAID | 60010311 | 01 | NJ | HORIZON/MERCY | OTHER |