Basic Information
| Provider Information | |||||||||
| NPI: | 1043883325 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARAZI | ||||||||
| FirstName: | DANNY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3225 W BANCROFT ST | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436063321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4195086823 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3000 ARLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193834000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2021 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APRN.CNP.0029210 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 163W00000X | RN.420979 | OH | N | Nursing Service Providers | Registered Nurse |
No ID Information.