Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premalatha Babu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811573900

Premalatha Babu, MD is a Family Practice in Portland, Maine. Qualified in 2018, 8 years ago. Practices with Intermed PA, a 185-clinician group and accepts Medicare assignment. Licensed in Georgia and Maine.

Years since qualifying
8
Licensed in
GA, ME
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Foden Rd
Portland, ME 04106-2327
Phone: (207) 874-1489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD28276 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (GA)

Record details

NPI number1811573900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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