Edraki, Babak
Edraki, Babak is an individual health care provider with primary practice located at 1479 Ygnacio Valley Rd Ste 100 , Walnut Creek CA 94598. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Edraki, Babak can be contacted via phone (925) 627-3440.Contact Information
Primary practice address
1479 Ygnacio Valley Rd Ste 100
Walnut Creek CA 94598
Phone: (925) 627-3440
Fax: (925) 627-3450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207VC0200X | G67092 | California |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | G67092 | California |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | G67092 | California |
Profile Details
| NPI number | 1942249388 |
|---|---|
| LBN Legal business name | Edraki, Babak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Aug 10th, 2018 - about 7 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 | 1942249388 | NPPES |
| California | MEDICAID | 00G670920 |
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