Provider Demographics
NPI:1396073318
Name:BABERWAL, RAJKUMAR
Entity type:Individual
Prefix:
First Name:RAJKUMAR
Middle Name:
Last Name:BABERWAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13636 VENTURA BLVD
Mailing Address - Street 2:APT. 257
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3700
Mailing Address - Country:US
Mailing Address - Phone:919-539-2340
Mailing Address - Fax:
Practice Address - Street 1:13636 VENTURA BLVD
Practice Address - Street 2:APT. 257
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3700
Practice Address - Country:US
Practice Address - Phone:919-539-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)