Tarif Bakdash
M.D. | Pediatrics | Male
Tarif Bakdash, M.D. is a Royal Oak, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tarif Bakdash is
3555 W 13 Mile Rd Ste N120a, Royal Oak, Michigan - 48073-6710. He can be contacted on phone at
248-551-0487.
Tarif Bakdash is a sole proprietor of his business.
NPI number (Unique professional ID) for Tarif Bakdash is
1104141712 which was assigned by NPPES on 07 Apr, 2010 and it was last updated on 18 Jun, 2019.
Tarif Bakdash license number is
4301055614 for Pediatrics (208000000X) in Michigan.
Tarif Bakdash is a pediatrician who 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.
Complete Profile:
Tarif Bakdash basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Tarif Bakdash |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Tarif Bakdash address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3555 W 13 Mile Rd Ste N120a
Royal Oak, MI, 48073-6710
United States |
|---|
| Phone Number : | 248-551-0487 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104141712 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 07 Apr, 2010 |
|---|
| Last Updated On : | 18 Jun, 2019 |
|---|
Medicare Participation:
Tarif Bakdash participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1456483767 |
|---|
| Medicare Enrollment ID : | I20190626003667 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 1988 |
|---|
| Accepts Medicare? | Yes. Tarif Bakdash accepts medicare insurance. |
|---|
Group Practice Association:
Tarif Bakdash is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tarif Bakdash is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Beaumont Medical Group- Specialty Services | 7214299866 | 793 | 25250 Kelly Rd
Suite 100
Roseville, MI - 480664473
Ph: 5867774668 | Yes |
| Beaumont Medical Group- Specialty Services | 7214299866 | 793 | 44250 Dequindre Rd
Sterling Heights, MI - 483141002
Ph: 2489640400 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tarif Bakdash are as mentioned. Primary taxonomy code for Tarif Bakdash, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2012014535 | MO |
| 208000000X | Pediatrics | Yes | 4301055614 | MI |
| 208000000X | Pediatrics | No | 12298 | MT |
| 2084N0400X | Psychiatry & Neurology Neurology | No | 63034 | WI |
| 2084N0402X | Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology | No | 63034 | WI |
| 2084N0402X | Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology | No | 24539 | MS |
| 2084N0600X | Psychiatry & Neurology Clinical Neurophysiology | No | 63034 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Tarif Bakdash such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 12298 | Other | MT | LICENSE |
| 431560263 | Other | MO | TRICARE |
| 1104141712 | MEDICAID | MO | |
| 200435170A | MEDICAID | OK | |
| 05127841 | MEDICAID | MS | |
| 192753001 | MEDICAID | AR | |
| P01110482 | Other | MO | RR MCR |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 26901 Beaumont Blvd Ste 3d
Southfield, MI, 48033-3849
United States |
|---|
| Phone Number : | 947-522-1860 |
|---|
| Fax Number : | 947-522-0307 |
|---|
Business Location:
Patients can refer following map for directions to
Tarif Bakdash practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.