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NPI Code Detail

MEDICARE: DR. HASSAN MOHAMED BARADA MD

MEDICARE: DR. HASSAN MOHAMED BARADA MD
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
12084P0800XPsychiatry Physician4301511310MI

General Provider Information

NPI Number : 1164161113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASSAN MOHAMED BARADA MD
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28050 GRAND RIVER AVE
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48336-5919
Country : US
Telephone Number : 947-521-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2022
Last Update Date : 02/13/2026

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