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Individual
DR. MOHAMAD BARAKAT
Active
Individual
DR. MOHAMAD BARAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036078010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036078010
STATE LICENSE
IL
05
—
036078010
—
IL
01
—
731670553
TAX ID
—
Enumeration date
06/06/2006
Last updated
11/05/2007
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