Provider Demographics
NPI:1972306835
Name:BABAKHANYAN, LEAH (PA)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:BABAKHANYAN
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 GOULD WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2406
Mailing Address - Country:US
Mailing Address - Phone:916-291-4785
Mailing Address - Fax:
Practice Address - Street 1:3322 GOULD WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2406
Practice Address - Country:US
Practice Address - Phone:916-291-4785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program