1659695872 NPI number — DR. YOREH BARAK M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659695872 NPI number — DR. YOREH BARAK M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARAK
Provider First Name:
YOREH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659695872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MOSHAV YODFAT D.N. MISGAV 20180
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YODFAT
Provider Business Mailing Address State Name:
ISRAEL
Provider Business Mailing Address Postal Code:
20180
Provider Business Mailing Address Country Code:
IL
Provider Business Mailing Address Telephone Number:
972526402106
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MOSHAV YODFAT D.N. MISGAV 20180
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YODFAT
Provider Business Practice Location Address State Name:
ISRAEL
Provider Business Practice Location Address Postal Code:
20180
Provider Business Practice Location Address Country Code:
IL
Provider Business Practice Location Address Telephone Number:
972526402106
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)