Provider Demographics
NPI:1497400899
Name:BARAKAT, NADIA (DDS)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:BARAKAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:BARAKAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2127 PINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2829
Mailing Address - Country:US
Mailing Address - Phone:805-233-0184
Mailing Address - Fax:
Practice Address - Street 1:2130 RALSTON AVE STE 1B
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1664
Practice Address - Country:US
Practice Address - Phone:650-591-4408
Practice Address - Fax:650-365-2690
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1046541223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty