Individual
BABAK MIRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 COMANCHE RD NE STE E6, ALBUQUERQUE, NM 87107-4546
(505) 881-4500
(505) 881-5158
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 624-2095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2002-0076
NM
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
20020076
NM
2084P0800X
Psychiatry Physician
Primary
2002-0076
NM
2084P0805X
Geriatric Psychiatry Physician
20020076
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34876855
—
NM
Enumeration date
11/11/2005
Last updated
08/26/2025
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