Healthcare Provider Details

I. General information

NPI: 1649686791
Provider Name (Legal Business Name): ZAREE BABAKHANIAN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BELLEFONTAINE ST SUITE 409
PASADENA CA
91105-3132
US

IV. Provider business mailing address

50 BELLEFONTAINE ST SUITE 409
PASADENA CA
91105-3132
US

V. Phone/Fax

Practice location:
  • Phone: 818-606-1805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA109953
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA109953
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA109953
License Number StateCA

VIII. Authorized Official

Name: ZAREE BABAKHANIAN
Title or Position: OWNER
Credential: M.D.
Phone: 818-606-1805