Etemad, Babak
Etemad, Babak is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave Ste 560 , Wynnewood PA 19096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Etemad, Babak can be contacted via phone (484) 476-8390.Contact Information
Primary practice address
100 E Lancaster Ave Ste 560
Wynnewood PA 19096
Phone: (484) 476-8390
Fax: (484) 476-7841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD049259L | Pennsylvania |
Profile Details
| NPI number | 1942268057 |
|---|---|
| LBN Legal business name | Etemad, Babak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942268057 | NPPES |
| Louisiana | MEDICAID | 1185345 |
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