Organization
IMANOEL ENTERPRISE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK IMANOEL DO (OWNER/DOCTOR)
(410) 751-5830
Entity
Organization
Contact information
Practice address
218 WASHINGTON HEIGHTS MED CTR, WESTMINSTER, MD 21157-5633
(410) 751-5830
(410) 751-7450
Mailing address
9115 FIELD RD, BALTIMORE, MD 21208-1003
(410) 751-5830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H53939
MD
Other
Enumeration date
10/23/2007
Last updated
10/19/2011
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