Provider Demographics
NPI:1750542445
Name:GOLDMAN, BABAK MEIR (MD)
Entity type:Individual
Prefix:DR
First Name:BABAK
Middle Name:MEIR
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9524 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7452
Mailing Address - Country:US
Mailing Address - Phone:516-884-4677
Mailing Address - Fax:
Practice Address - Street 1:501 S BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4809
Practice Address - Country:US
Practice Address - Phone:818-847-4349
Practice Address - Fax:818-847-3212
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2019-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120541207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine