Provider Demographics
NPI:1225393911
Name:SENZIRA, BARAKA KWIZERA (DPM)
Entity Type:Individual
Prefix:
First Name:BARAKA
Middle Name:KWIZERA
Last Name:SENZIRA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-1127
Mailing Address - Country:US
Mailing Address - Phone:717-921-7083
Mailing Address - Fax:717-842-2345
Practice Address - Street 1:1900 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-1127
Practice Address - Country:US
Practice Address - Phone:717-921-7083
Practice Address - Fax:717-842-2345
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006394213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist