Provider Demographics
NPI:1851260467
Name:ABDUL KAREEM, BARAQAH (MBBS)
Entity type:Individual
Prefix:
First Name:BARAQAH
Middle Name:
Last Name:ABDUL KAREEM
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:OMODELE
Other - Middle Name:BARAKAT
Other - Last Name:ABDULKAREEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11414 GLENN DALE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4100 CROSSWICK TURN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1109
Practice Address - Country:US
Practice Address - Phone:240-906-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR245140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily