Individual
DR. BABAK GHAVAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 SKOFSTAD ST, RIVERSIDE, CA 92505-3042
(305) 510-0737
Mailing address
3855 SKOFSTAD ST, RIVERSIDE, CA 92505-3042
(305) 510-0737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A174251
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
11/01/2022
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