Provider Demographics
NPI:1154571529
Name:BARAKAT, HELDA (MD)
Entity type:Individual
Prefix:
First Name:HELDA
Middle Name:
Last Name:BARAKAT
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 1:2022 KELLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-8708
Mailing Address - Country:US
Mailing Address - Phone:219-364-3616
Mailing Address - Fax:219-364-3610
Practice Address - Street 1:2000 ROOSEVELT RD STE 104
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2801
Practice Address - Country:US
Practice Address - Phone:219-464-8007
Practice Address - Fax:219-464-7651
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0215207R00000X
IL036125343207R00000X
IN01077976A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1932187044OtherGROUP NPI
NM800521089OtherGROUP MCR
Z2565OtherGROUP MCD