Mirin, Babak

Mirin, Babak is an sole proprietor health care provider with primary practice located at 405 W Country Club Rd , Roswell NM 88201-5209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Mirin, Babak can be contacted via phone (575) 622-8170.

Contact Information

Primary practice address
405 W Country Club Rd Roswell NM 88201-5209
Phone: (575) 622-8170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 20020076 New Mexico
Other Service Providers / Specialist 174400000X 2002-0076 New Mexico
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 20020076 New Mexico

Profile Details

NPI number 1891776274
LBN Legal business name Mirin, Babak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated May 19th, 2021 - about 4 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 1891776274 NPPES
New Mexico MEDICAID 34876855

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