TARIF BAKDASH (NPI# 1104141712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104141712 |
| Entity Type | Individual |
| Full Name | TARIF BAKDASH |
| Credential | M.D. |
| Practice Address |
3555 W 13 Mile Rd Ste N120a Royal Oak MI 48073-6710 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2485510487 |
| Mailing Telephone | 9475221860 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301055614 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2012014535 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 12298 | MT | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
63034 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
24539 | MS | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
63034 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
63034 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | LICENSE | 12298 | 01 |
| MO | TRICARE | 431560263 | 01 |
| MO | 1104141712 | 05 | |
| OK | 200435170A | 05 | |
| MS | 05127841 | 05 | |
| AR | 192753001 | 05 | |
| MO | RR MCR | P01110482 | 01 |
| Street Address |
3555 W 13 MILE RD STE N120A |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1427579358 | Rabail Tariq | Pediatrics | 3535 West 13 Mile Rd, South Clinic, Royal Oak, MI 48073 | 2017-06-30 |
| 1922200070 | Amy Lauren Marks | Pediatrics | 3535 W 13 Mile Rd Ste 305, Royal Oak, MI 48073-6770 | 2007-06-01 |
| 1295869550 | Julie M Surhigh | Pediatrics | 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073-6770 | 2007-03-16 |
| 1962412874 | Mara Rubenstein | Pediatrics | 3571 W 13 Mile Rd Fl 2, Royal Oak, MI 48073-6710 | 2006-08-09 |
| 1417916818 | Kalli Jo Doyle | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2006-03-23 |
| 1164404224 | Suhad Yaldo | Pediatrics | 30701 Woodward Ave., Sutie S-301, Royal Oak, MI 48073 | 2005-11-15 |
| 1982686283 | Anne Butry-bluj | Pediatrics | 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067-0927 | 2005-11-14 |
| 1174513931 | Mirjana B Popovic | Pediatrics | 225 S Troy St, Ste 180, Royal Oak, MI 48067-2704 | 2005-10-24 |
| 1750376877 | M Bassem Hosein Dekelbab | Pediatrics | 3535 W 13 Mile Rd, 707, Royal Oak, MI 48073-6770 | 2005-09-14 |
| Find all providers in ROYAL OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.