Individual
BABEK ADILI-KHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29101 HOSPITAL RD, LAKE ARROWHEAD, CA 92352-9706
(909) 336-9715
(909) 336-5751
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20250
MS LICENSE
MS
05
—
502485400
—
MN
Enumeration date
08/13/2006
Last updated
02/12/2018
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