MEDICARE: MONYIA BARAKAT DC

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	111N00000X	Chiropractor	61413368	WA

General Provider Information

NPI Number	:	1376245779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONYIA BARAKAT DC

Provider Business Mailing Address
First Line	:	24015 VAN RY BLVD # 403
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-5458
Country	:	US
Telephone Number	:	407-341-1807
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 6TH AVE STE 917
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-2568
Country	:	US
Telephone Number	:	206-339-8301
Fax Number	:

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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Directions to “ MONYIA BARAKAT DC” Practice Location

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