Individual
SUHAIREIRENE R SUADY BARAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD STE 900B, PHOENIX, AZ 85013-4224
(602) 406-4300
(602) 406-4272
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-7486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P8736
TX
207RI0200X
Infectious Disease Physician
Primary
56078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113392
SID # 113392
CA
Enumeration date
01/25/2012
Last updated
07/14/2023
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