Individual
MAGED MOKHTAR BAKR
Active
Individual
MAGED MOKHTAR BAKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 122337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014678700
—
FL
01
—
1501Q
BCBS
FL
01
—
IJ623Y
MEDICARE
FL
Enumeration date
01/24/2012
Last updated
08/09/2017
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