Individual
HOUSAM ALDEEN SARAKBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301113943
MI
207RR0500X
Rheumatology Physician
40639-020
WI
207RR0500X
Rheumatology Physician
4301113943
MI
207RR0500X
Rheumatology Physician
Primary
TP167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629475066
BCBSWI
WI
05
—
1629475066
—
WI
01
—
SARAKHOU
MERCYCARE INSURANCE
WI
Enumeration date
12/01/2014
Last updated
05/08/2024
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