Provider Demographics
NPI:1467582932
Name:JARAKI MEDICAL CARE PA
Entity Type:Organization
Organization Name:JARAKI MEDICAL CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL RAHMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-654-7887
Mailing Address - Street 1:8020 NW 167TH TERR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-654-7887
Mailing Address - Fax:
Practice Address - Street 1:7150 W 20TH AVE
Practice Address - Street 2:#314
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-654-7887
Practice Address - Fax:305-654-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K1166Medicare ID - Type Unspecified
F08121Medicare UPIN