Provider Demographics
NPI:1134132814
Name:YTBAREK, BRIKTI (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIKTI
Middle Name:
Last Name:YTBAREK
Suffix:
Gender:F
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:PO BOX 302682
Mailing Address - Street 2:BRIKTI YTBAREK
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-2682
Mailing Address - Country:US
Mailing Address - Phone:340-998-3553
Mailing Address - Fax:340-774-1517
Practice Address - Street 1:9048 SUGAR ESTATE
Practice Address - Street 2:THE ROY LESTER SCHNEIDER HOSPITAL
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIVI1289207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
H76562Medicare UPIN
VI0027724Medicare UPIN