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Tilak Raj Baba

Internal Medicine

Allopathic & Osteopathic Physicians

195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967

PECOS Enrollment

This provider is enrolled in PECOS as TILAK BABA.

Based on the most recent information from CMS, provider Tilak Raj Baba is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1093058307
Provider Type
Individual
Full Name
Baba, Tilak Raj
Gender
Male

Sole Proprietor
No
Enumeration Date
4/4/2013
Last Updated
8/7/2024

Contact Information

Practice Location

195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967

(336) 768-6211

(336) 768-6869

Mailing Location

195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967

(336) 768-6211

(336) 768-6869

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 202203303 North Carolina
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD044449 District of Columbia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License D0081092 Maryland

Tilak Raj Baba

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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