Bakdash, Tarif

Bakdash, Tarif is an individual health care provider with primary practice located at 2195 Harrodsburg Rd Fl 2 , Lexington KY 40504-3516. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Bakdash, Tarif can be contacted via phone (859) 562-1868.

Contact Information

Primary practice address
2195 Harrodsburg Rd Fl 2 Lexington KY 40504-3516
Phone: (859) 562-1868
Fax: (859) 257-0421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012014535 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301055614 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12298 Montana
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4301055614 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 63034 Wisconsin
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 63034 Wisconsin
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 24539 Mississippi
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 58549 Kentucky
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 63034 Wisconsin
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 58549 Kentucky

Profile Details

NPI number 1104141712
LBN Legal business name Bakdash, Tarif
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Nov 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104141712 NPPES
Missouri Other 431560263 TRICARE
Missouri Other P01110482 TRICARE
Missouri Other 12298 TRICARE
Missouri MEDICAID 192753001 TRICARE
Missouri MEDICAID 200435170A TRICARE
Missouri MEDICAID 05127841 TRICARE
Missouri MEDICAID 1104141712 TRICARE

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