MEDICARE: BABAK MIRIN M.D.

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	174400000X	Specialist	2002-0076	NM
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	20020076	NM
3	2084P0805X	Geriatric Psychiatry Physician	20020076	NM
4	2084P0800X	Psychiatry Physician	2002-0076	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891776274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BABAK MIRIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8244
Second Line	:
City	:	ROSWELL
State	:	NM
Zip	:	88202-8244
Country	:	US
Telephone Number	:	575-624-2095
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 COMANCHE RD NE STE E6
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4546
Country	:	US
Telephone Number	:	505-881-4500
Fax Number	:	505-881-5158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	08/26/2025

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1538162771 — DR. WILLIAM HOWARD DOGGETT DC
Practice Location Address:

3500 COMANCHE RD NE , STE I
ALBUQUERQUE, NM
87107-4546

Practice Phone: 505-884-0771
Practice Fax: 505-884-0776

1568499697 — JAMES H RICE M.D.
Practice Location Address:

3500 COMANCHE RD NE STE G
ALBUQUERQUE, NM
87107-4546

Practice Phone: 505-881-5080
Practice Fax: 505-872-2306

1700808672 — DR. KENNETH HAROLD BULL M.D.
Practice Location Address:

3500 COMANCHE RD NE , BLDG E6
ALBUQUERQUE, NM
87107-4546

Practice Phone: 505-881-8666
Practice Fax: 505-881-3261

1881798981 — MAIMONIDES SLEEP ARTS & SCIENCES
Practice Location Address:

3500 COMANCHE RD NE STE C
ALBUQUERQUE, NM
87107-4546

Practice Phone: 505-998-7200
Practice Fax: 505-998-7220

1972669901 — MS. KATHY J ALBERDING LISW
Practice Location Address:

3500 COMANCHE RD NE , BLDG E #6
ALBUQUERQUE, NM
87107-4546

Practice Phone: 505-881-8666
Practice Fax: 505-881-3261

Directions to “ BABAK MIRIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.