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Contact Information

IMAD JOHN BAKOSS
2165 71ST ST
BROOKLYN, NY11204-5526
 Phone: 718-621-7100
 Fax: 718-621-7103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Independent Medical Examiner

202C00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IMAD JOHN BAKOSS

NPI Number 1174744221
LBN Legal business name IMAD JOHN BAKOSS
Authorized official IMAD BAKOSS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2007
Last updated 09/19/2007 - About 19 years ago
Identifiers
NY License # 129319
NY Medicaid 00271187
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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