Individual
DR. HISHAM BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2553 CHAIN BRIDGE RD., VIENNA, VA 22181
(703) 938-0212
(703) 938-2166
Mailing address
2553 CHAIN BRIDGE RD., VIENNA, VA 22181
(703) 938-0212
(703) 938-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410549
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019711
ANTHEM
VA
01
—
816276
UNITED CONCORDIA
VA
Enumeration date
12/05/2006
Last updated
08/20/2015
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