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NPI Code Detail

MEDICARE: ALI BARAKAT

MEDICARE:   ALI  BARAKAT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1518700640
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI BARAKAT
Provider Business Mailing Address
First Line : 1 WILLIAM CARLS DR
Second Line :
City : COMMERCE CHARTER TWP
State : MI
Zip : 48382
Country : US
Telephone Number : 248-937-5085
Fax Number :
Provider Business Practice Location Address
First Line : 1 WILLIAM CARLS DR
Second Line :
City : COMMERCE CHARTER TWP
State : MI
Zip : 48382
Country : US
Telephone Number : 248-937-5085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 09/06/2024

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Directions to “ ALI BARAKAT ” Practice Location

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