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
Phone: (909) 882-4605
Fax: (909) 882-3265
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1881774479 | NPPES |
| Florida | MEDICAID | 275031700 | |
| Florida | MEDICAID | GR0090610 | |
| Florida | MEDICAID | 1356511349 | |
| Florida | MEDICAID | 1467402149 |
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