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Individual

AMMAR BARAKAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1400 US HIGHWAY 61, SUITE G20, FESTUS, MO 63028-4100
(636) 933-5337
Mailing address
1400 US HIGHWAY 61, CWB 320, FESTUS, MO 63028-4100
(636) 993-5337

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2012035049
MO
208M00000X
Hospitalist Physician
265885
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03251030
NY
01
P00903660
RAILROAD MEDICARE
NY
Enumeration date
01/04/2010
Last updated
12/02/2012
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