Provider Demographics
NPI:1528229689
Name:DAKAK, ALAN FIRAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:FIRAS
Last Name:DAKAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 SAN DIMAS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5711
Mailing Address - Country:US
Mailing Address - Phone:661-864-7944
Mailing Address - Fax:661-864-7946
Practice Address - Street 1:3941 SAN DIMAS ST STE 101
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-864-7944
Practice Address - Fax:661-864-7946
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics