Provider Demographics
NPI:1326266651
Name:BARAKA OBSTETRICS AND GYNECOLOGY
Entity Type:Organization
Organization Name:BARAKA OBSTETRICS AND GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAIFAA
Authorized Official - Middle Name:TAWFIQ
Authorized Official - Last Name:YOUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-645-2008
Mailing Address - Street 1:6125 CLAYTON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-3265
Mailing Address - Country:US
Mailing Address - Phone:314-645-2008
Mailing Address - Fax:314-645-1104
Practice Address - Street 1:6125 CLAYTON AVE
Practice Address - Street 2:STE. 103
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3265
Practice Address - Country:US
Practice Address - Phone:314-645-2008
Practice Address - Fax:314-645-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105526174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty