| Barazanji Family Medical Clinic, P.c. | |
|
1701 22nd St Suite 201 West Des Moines IA 50266-1443 | |
| (515) 440-6622 | |
| (515) 440-6698 |
| Full Name | Barazanji Family Medical Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 22nd St, West Des Moines, Iowa |
| Authorized Official Name and Position | Majed W Barazanji (PRESIDENT) |
| Authorized Official Contact | 5154406622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barazanji Family Medical Clinic, P.c. Po Box 71602 Clive IA 50325-0602 Ph: (515) 243-2057 | Barazanji Family Medical Clinic, P.c. 1701 22nd St Suite 201 West Des Moines IA 50266-1443 Ph: (515) 440-6622 |
| NPI Number | 1942253836 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942253836 | NPI | - | NPPES |
| 2063693 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27563 (Iowa) | Primary |
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