Bamshad, Babak Robert
Bamshad, Babak Robert is an individual health care provider with primary practice located at 8635 W 3Rd St No. 765W, Los Angeles CA 90048-6101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Bamshad, Babak Robert can be contacted via phone (310) 854-0777.Contact Information
Primary practice address
8635 W 3Rd St No. 765W
Los Angeles CA 90048-6101
Phone: (310) 854-0777
Fax: (310) 289-5198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | G81239 | California |
Profile Details
| NPI number | 1437282936 |
|---|---|
| LBN Legal business name | Bamshad, Babak Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 27th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437282936 | NPPES |
| California | MEDICAID | 00G812391 |
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