Provider Demographics
NPI:1568118511
Name:BARAKZAI, MOHAMMAD HADI
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:HADI
Last Name:BARAKZAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 TRAIL RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-5629
Mailing Address - Country:US
Mailing Address - Phone:202-873-3365
Mailing Address - Fax:
Practice Address - Street 1:47 TRAIL RIDGE LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-5629
Practice Address - Country:US
Practice Address - Phone:202-873-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient Transport