Provider Demographics
NPI:1225444862
Name:ABURAJAB ALTAMIMI, BARAKAT KH MB (MD)
Entity Type:Individual
Prefix:
First Name:BARAKAT
Middle Name:KH MB
Last Name:ABURAJAB ALTAMIMI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:MERCY GASTROENTEROLOGY CLINIC
Mailing Address - Street 2:788 8TH AVENUE SE ; SUITE 300
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401
Mailing Address - Country:US
Mailing Address - Phone:319-369-4542
Mailing Address - Fax:319-369-4543
Practice Address - Street 1:MERCY GASTROENTEROLOGY CLINIC
Practice Address - Street 2:788 8TH AVENUE SE ; SUITE 300
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401
Practice Address - Country:US
Practice Address - Phone:319-369-4542
Practice Address - Fax:319-369-4543
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2021-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-46741207RG0100X
IAR-10772390200000X
NMRS2014-0401390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology