Individual
DR. MHROOS FAIK BARAK PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 274-4771
(270) 274-4884
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101267619
VA
207Q00000X
Family Medicine Physician
Primary
59935
KY
207R00000X
Internal Medicine Physician
249349
NY
208M00000X
Hospitalist Physician
0101267619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03037390
—
NY
05
—
7101011770
—
KY
Enumeration date
03/30/2007
Last updated
10/10/2025
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