Healthcare Provider Details

I. General information

NPI: 1255794608
Provider Name (Legal Business Name): BABAK TORABI TORABI SAGVAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BABAK SAGVAND MD

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

11010 BUSHWOOD WAY
COLUMBIA MD
21044-2902
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-7090
  • Fax:
Mailing address:
  • Phone: 617-487-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101285298
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0089287
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: