Provider Demographics
NPI:1376358523
Name:BABAK JAMASIAN MD INC
Entity type:Organization
Organization Name:BABAK JAMASIAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:JAMASIAN
Authorized Official - Last Name:MOBARAKEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-836-2570
Mailing Address - Street 1:10340 N SINCLAIR CIR # CA93730
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-3486
Mailing Address - Country:US
Mailing Address - Phone:559-225-6100
Mailing Address - Fax:
Practice Address - Street 1:10340 N SINCLAIR CIR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-3486
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty