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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942249388 NPPES
California MEDICAID 00G670920

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