Provider Demographics
NPI:1932950102
Name:BARAILY, MUNA
Entity Type:Individual
Prefix:
First Name:MUNA
Middle Name:
Last Name:BARAILY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9654 STONEY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4767
Mailing Address - Country:US
Mailing Address - Phone:216-466-7404
Mailing Address - Fax:216-249-9176
Practice Address - Street 1:9654 STONEY CREEK LN
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4767
Practice Address - Country:US
Practice Address - Phone:216-466-7404
Practice Address - Fax:216-249-9176
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health