Individual
BABAK TASHAKKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W HUNTINGTON DR, SUITE 500, ARCADIA, CA 91007-3462
(626) 793-1227
(626) 793-3794
Mailing address
55 E CALIFORNIA BLVD, 3RD FLOOR, PASADENA, CA 91105-3954
(626) 793-1227
(626) 793-3794
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A63829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A063829
BLUE SHIELD
CA
01
—
P00068796
MEDICARE RAIL ROAD
CA
Enumeration date
04/28/2006
Last updated
04/02/2009
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