Dr. Husam Baki
Internist Internist - Allergy & Immunology
616 E 13th St
Winamac
, Indiana 46996
Dr. Husam Baki
Internist Internist - Allergy & Immunology
616 E 13th St
Winamac
, Indiana 46996
(312) 451-4630
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About
Features
Specialties
- Internist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Husam Baki
- 50925 Safari Dr
- Granger, IN
- Zip : 46530-6737
- Phone : (312) 451-4630
Second Address
- Dr. Husam Baki
- 616 E 13th St
- Winamac, IN
- Zip : 46996
- Phone : (574) 946-2104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01056375A | IN |
| N | 111NI0900X | Internist | 01056375A | IN |
| Y | 207RA0201X | Internist - Allergy & Immunology | 01056375A | IN |
National Provider Identifier
| NPI | 1316129695 |
|---|---|
| Provider Name | Dr. Husam Baki |
| First Address | Granger, IN 46530-6737 |
| Second Address | Winamac, IN 46996 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2007 |
| Last Update Date | 20/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000940640 | BCBS (01) | IN |
| 200383950 | (05) | IN |
| E62211 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.