TARIF BAKDASH M.D. – NPI #1104141712
Psychiatry & Neurology
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
TARIF BAKDASH is a psychiatry & neurologist located in LEXINGTON, KY. NPPES has assigned the NPI number 1104141712 to TARIF BAKDASH on April 07, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology
The NPI profile was previously updated about 3 years ago on Nov 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARIF BAKDASH below.
NPI Profile for
TARIF BAKDASH
(more than 16 years ago)
LEXINGTON, KY 40504-3516 Phone: (859) 562-1868 Fax: (859) 257-0421
2 Other location(s):
Dearborn, MI 48124-4085
Phone: (313) 438-7998
Royal Oak, MI 48073-6710
Phone: (248) 551-0487
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for TARIF BAKDASH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | LICENSE | MT | 12298 |
| other | RR MCR | MO | P01110482 |
| other | TRICARE | MO | 431560263 |
| medicaid | AR | 192753001 | |
| medicaid | MO | 1104141712 | |
| medicaid | MS | 05127841 | |
| medicaid | OK | 200435170A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084N0402X - Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary) |
MI | 4301055614 |
| 2084N0600X - Psychiatry & Neurology / Clinical Neurophysiology |
KY | 58549 |
| 2084N0400X - Psychiatry & Neurology / Neurology |
WI | 63034 |
| 208000000X - Pediatrics |
MO | 2012014535 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
3555 W 13 MILE RD STE N120A,
ROYAL OAK, MI 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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See the complete CMS Data Dissemination Notice here.