Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GENNADY S BABICHENKO, LD
ActiveMR. GENNADY S BABICHENKO, LD is a 122400000X healthcare provider located in BOISE, Idaho. NPI 1629115761 is currently active in the NPPES registry. Verify at CMS.
122400000X · BOISE, ID
Registration Details
- NPI Number
- 1629115761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.356239009509 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD44 (ID)
Practice Information
- Address
-
10480 W GARVERDALE CT STE 804BBOISE, ID, 837045477Browse ID providers · Browse ZIP 83704
- Phone
- 2083766613
- Primary Specialty
-
122400000X
122400000X
Other 122400000X Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. HEIDI MARIE VAN GIFFEN | L.D. | 1700099694 |
| CHARLES ROLLIN WESTERBERG | LD LICENSED DENTURIS | 1659760684 |
| AMANDA JODI ROWE | LD, RDA | 1750944344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.