Individual
YAQUB M. BARAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44084 RIVERSIDE PKWY, SUITE 230, LANSDOWNE, VA 20176-5102
(703) 687-3158
(703) 687-3166
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101244834
VA
208200000X
Plastic Surgery Physician
D68504
MD
208600000X
Surgery Physician
0101244834
VA
208600000X
Surgery Physician
D68504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198108YDB5
MEDICARE
MD
01
—
227970YFHZ
MEDICARE
DC
01
—
510465300
MEDICAL ASSISTANCE
MD
01
—
VV6451E050
MEDICARE
VA
01
—
X739 0001
CAREFIRST
DC
01
—
X739 0001
CAREFIRST
MD
Enumeration date
04/22/2008
Last updated
04/01/2017
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