Provider Demographics
NPI:1396618518
Name:BIOBAH, LLC
Entity type:Organization
Organization Name:BIOBAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HULIAMATU
Authorized Official - Middle Name:
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:405-501-4886
Mailing Address - Street 1:1330 N CLASSEN BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6834
Mailing Address - Country:US
Mailing Address - Phone:405-256-4823
Mailing Address - Fax:405-225-1455
Practice Address - Street 1:1330 N CLASSEN BLVD STE 109
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6834
Practice Address - Country:US
Practice Address - Phone:405-256-4823
Practice Address - Fax:405-225-1455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOBAH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty