MEDICARE: RUBA BARAKAT KADO M.D.

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	207R00000X	Internal Medicine Physician	4301100096	MI
2	207R00000X	Internal Medicine Physician	107214	FL
3	208M00000X	Hospitalist Physician	ME107214	FL
4	207RR0500X	Rheumatology Physician	4301100096	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00897388	OTHER	FL	RR MEDICARE

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
2	9400727	OTHER	FL	BCBS FL

General Provider Information

NPI Number	:	1588876056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBA BARAKAT KADO M.D.

Provider Business Mailing Address
First Line	:	2550 S TELEGRAPH RD
Second Line	:	STE 104
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0951
Country	:	US
Telephone Number	:	248-972-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 S TELEGRAPH RD STE 104
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0951
Country	:	US
Telephone Number	:	319-530-8368
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/15/2025

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