MEDICARE: BABAK REJAIE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	M7565	TX

General Provider Information

NPI Number	:	1396017976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABAK REJAIE MD PA

Provider Business Mailing Address
First Line	:	668 BUNKER HILL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-5119
Country	:	US
Telephone Number	:	713-467-2313
Fax Number	:	281-616-6454

Provider Business Practice Location Address
First Line	:	668 BUNKER HILL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-5119
Country	:	US
Telephone Number	:	713-467-2313
Fax Number	:	281-616-6454

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. SHANNON WOBBE
Credential	:
Telephone Number	:	281-317-8103

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	01/30/2012

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