Individual
BABAK SABOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10729 MIST HAVEN TER, ROCKVILLE, MD 20852-3438
(202) 294-4999
Mailing address
10729 MIST HAVEN TER, ROCKVILLE, MD 20852-3438
(202) 294-4999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26556
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26556
—
MD
Enumeration date
04/14/2020
Last updated
04/14/2020
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