Individual provider · NPI-1

Babak Edraki, MD

Obstetrics & Gynecology, Gynecology · Walnut Creek, CA

NPI number1942249388

StatusActive

Last updated in NPPESAug 10, 2018

Details

NPI: 1942249388
Entity type: Individual (NPI-1)
Name: Babak Edraki
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 4, 2006
Last updated: Aug 10, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VG0400X	Obstetrics & Gynecology, Gynecology	G67092	CA	Yes
207VC0200X	Obstetrics & Gynecology, Critical Care Medicine	G67092	CA
207VX0201X	Obstetrics & Gynecology, Gynecologic Oncology	G67092	CA

Practice location

1479 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598

Phone 925-627-3440 · Fax 925-627-3450

Mailing address

1455 Montego
Ste 100
Walnut Creek, CA 94598

Phone 925-627-3440 · Fax 925-627-3450

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