Shahmohamady, Babac

Shahmohamady, Babac is an individual health care provider with primary practice located at 401 E Highland Ave Suite 450A, San Bernardino CA 92404-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shahmohamady, Babac can be contacted via phone (909) 882-4605.

Contact Information

Primary practice address
401 E Highland Ave Suite 450A San Bernardino CA 92404-3803
Fax: (909) 882-3265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A86824 California

Profile Details

NPI number 1881774479
LBN Legal business name Shahmohamady, Babac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 3rd, 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 1881774479 NPPES
Florida MEDICAID 275031700
Florida MEDICAID GR0090610
Florida MEDICAID 1356511349
Florida MEDICAID 1467402149

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