Individual
MOHAMED BARAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
82-68 164TH STREET, INTERNAL MEDICINE DEPT, JAMAICA, NY 11432
(718) 883-4080
Mailing address
82-68 164TH STREET, INTERNAL MEDICINE DEPT, JAMAICA, NY 11432
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30368
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
04/20/2022
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