Imanoel, Babak
Imanoel, Babak is an individual health care provider with primary practice located at 218 Washington Heights Med Ctr , Westminster MD 21157-5633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Imanoel, Babak can be contacted via phone (410) 751-5830.Contact Information
Primary practice address
218 Washington Heights Med Ctr
Westminster MD 21157-5633
Phone: (410) 751-5830
Fax: (410) 751-7450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42908 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3306 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H53939 | Maryland |
Profile Details
| NPI number | 1871546358 |
|---|---|
| LBN Legal business name | Imanoel, Babak |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 19th, 2011 - about 15 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 | 1871546358 | NPPES |
| Minnesota | MEDICAID | 610077500 | |
| Minnesota | MEDICAID | 955801200 |
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