Provider Demographics
NPI:1043689037
Name:BABAYOVA, RAMELLA ROSTAMOU
Entity Type:Individual
Prefix:
First Name:RAMELLA
Middle Name:ROSTAMOU
Last Name:BABAYOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10525 CHURCHILL AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2231
Mailing Address - Country:US
Mailing Address - Phone:818-439-3518
Mailing Address - Fax:
Practice Address - Street 1:10525 CHURCHILL AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2231
Practice Address - Country:US
Practice Address - Phone:818-439-3518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No171W00000XOther Service ProvidersContractor