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Individual
BABAK ROSHANAEI-MOGHADDAM
Active
Individual
BABAK ROSHANAEI-MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
60175566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026069
INSTITUTIONAL PERMIT
—
Enumeration date
06/12/2007
Last updated
04/25/2024
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