Kasravi, Babak
Kasravi, Babak is an individual health care provider with primary practice located at 1188 N Euclid St , Anaheim CA 92801-1900. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kasravi, Babak can be contacted via phone (888) 505-0043.Contact Information
Primary practice address
1188 N Euclid St
Anaheim CA 92801-1900
Phone: (888) 505-0043
Fax: (626) 405-6768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A71710 | California |
Profile Details
| NPI number | 1194786426 |
|---|---|
| LBN Legal business name | Kasravi, Babak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 3rd, 2021 - about 3 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 | 1194786426 | NPPES |
| California | MEDICAID | 00A717100 |
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