Provider Demographics
NPI:1780791038
Name:BAKR, ALIYA ABU (MD)
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:ABU
Last Name:BAKR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3555 WHIPPLE RD
Mailing Address - Street 2:KAISER PERMANENTE, DEPT OF PSYCHIATRY
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1507
Mailing Address - Country:US
Mailing Address - Phone:510-675-3080
Mailing Address - Fax:510-675-4648
Practice Address - Street 1:3555 WHIPPLE RD
Practice Address - Street 2:KAISER PERMANENTE, DEPT OF PSYCHIATRY
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1507
Practice Address - Country:US
Practice Address - Phone:510-675-3080
Practice Address - Fax:510-675-4648
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA799082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI11552Medicare UPIN