Provider Demographics
NPI:1063471282
Name:ALLARAKHIA, LIAQUAT (MD,)
Entity Type:Individual
Prefix:DR
First Name:LIAQUAT
Middle Name:
Last Name:ALLARAKHIA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1705
Mailing Address - Country:US
Mailing Address - Phone:941-727-3937
Mailing Address - Fax:941-727-7001
Practice Address - Street 1:4812 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1705
Practice Address - Country:US
Practice Address - Phone:941-727-3937
Practice Address - Fax:941-727-7001
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066629207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377028100Medicaid
FL377028100Medicaid
FLF95933Medicare UPIN