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BABEK ADILI-KHAMS M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588676811

Individual Registrant:
 BABEK  ADILI-KHAMS M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
29101 HOSPITAL RD  LAKE ARROWHEAD, CA 92352-9706 US
Tel: 909-336-9715  Fax: 909-336-5751

Contact information for business:
PO BOX 5183  MERIDIAN, MS 39302-5183 US
Tel: 601-703-4282  Fax: 601-703-4597

Registration Information:
NPI: 1588676811
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN47390

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
502485400MN05
MS LICENSE20250MS01




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