Organization
YMB SURGERY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAQUB M. BARAKI M.D. (SOLE MANAGER)
(818) 970-4497
Entity
Organization
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
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198107
MEDICARE
MD
01
—
227971
MEDICARE
DC
01
—
510466100
MEDICAL ASSISTANCE
MD
01
—
CB4QY
CAREFIRST
MD
01
—
E050
MEDICARE
VA
01
—
X739
CAREFIRST
DC
Enumeration date
07/26/2010
Last updated
12/18/2014
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