Bamshad, Babak Robert

Bamshad, Babak Robert is an individual health care provider with primary practice located at 8635 W 3Rd St No. 765W, Los Angeles CA 90048-6101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Bamshad, Babak Robert can be contacted via phone (310) 854-0777.

Contact Information

Primary practice address
8635 W 3Rd St No. 765W Los Angeles CA 90048-6101
Phone: (310) 854-0777
Fax: (310) 289-5198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X G81239 California

Profile Details

NPI number 1437282936
LBN Legal business name Bamshad, Babak Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 27th, 2010 - about 16 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 1437282936 NPPES
California MEDICAID 00G812391

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