Provider Demographics
NPI:1093861148
Name:FARRAG, ABEER BAKHIET (MD)
Entity type:Individual
Prefix:DR
First Name:ABEER
Middle Name:BAKHIET
Last Name:FARRAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 DEMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3358
Mailing Address - Country:US
Mailing Address - Phone:216-744-7220
Mailing Address - Fax:
Practice Address - Street 1:2266 DEMINGTON DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3358
Practice Address - Country:US
Practice Address - Phone:216-744-7220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT06000034422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology