MEDICARE: DR. ABDUL-RAHMAN JARAKI 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
1	207RC0000X	Cardiovascular Disease Physician	ME55108	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285659995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL-RAHMAN JARAKI MD

Provider Business Mailing Address
First Line	:	8020 NW 167TH TER
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-3426
Country	:	US
Telephone Number	:	305-654-7887
Fax Number	:	305-654-1350

Provider Business Practice Location Address
First Line	:	7150 W 20TH AVE STE 318
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5532
Country	:	US
Telephone Number	:	305-654-7887
Fax Number	:	305-654-1350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/14/2018

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