Provider Demographics
NPI:1497834345
Name:ASGHARIAN, ROBERT BABAK (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BABAK
Last Name:ASGHARIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 VISTA DEL SOL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7941
Mailing Address - Country:US
Mailing Address - Phone:915-593-8888
Mailing Address - Fax:915-593-8802
Practice Address - Street 1:10501 VISTA DEL SOL DR STE 110
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7941
Practice Address - Country:US
Practice Address - Phone:915-593-8888
Practice Address - Fax:915-593-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9997207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151792201Medicaid
TX151792201Medicaid