Individual
DR. BABAK RAZAGHI KHAMSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
(951) 413-0200
(951) 653-5680
Mailing address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
(951) 413-0200
(951) 653-5680
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A119808
CA
390200000X
Student in an Organized Health Care Education/Training Program
A119808
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023079183
—
CA
Enumeration date
06/21/2007
Last updated
09/09/2013
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