Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.2072288 | OH |
N | 111NI0900X | Internist | 35.2072288 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35.2072288 | OH |
Y | 207RI0011X | Interventional Cardiology | 35.2072288 | OH |
NPI | 1124132691 |
---|---|
Provider Name | Urwa Barakat |
First Address | Warren, OH 44484-4501 |
Second Address | Warren, OH 44484-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 13/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2072288 | (05) | OH |
H160851 | MEDICARE PTAN (01) | OH |