Provider Demographics
NPI:1023209202
Name:DAY, BARAKAH LOUISE REGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:BARAKAH
Middle Name:LOUISE REGINA
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:414 W SUNSET RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1769
Mailing Address - Country:US
Mailing Address - Phone:210-826-0311
Mailing Address - Fax:210-826-0386
Practice Address - Street 1:414 W SUNSET RD STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1769
Practice Address - Country:US
Practice Address - Phone:210-826-0311
Practice Address - Fax:210-826-0386
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6852208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212626003Medicaid
TX212626003Medicaid