Individual
BABAK EDRAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1479 YGNACIO VALLEY RD STE 100, WALNUT CREEK, CA 94598
(925) 627-3440
(925) 627-3450
Mailing address
1455 MONTEGO, STE 100, WALNUT CREEK, CA 94598
(925) 627-3440
(925) 627-3450
Taxonomy
Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
G67092
CA
207VG0400X
Gynecology Physician
Primary
G67092
CA
207VX0201X
Gynecologic Oncology Physician
G67092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G670920
—
CA
Enumeration date
06/04/2006
Last updated
08/10/2018
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