1841268653 NPI number — MOHAMMAD M BARI PHYSICIAN PC

Table of content: (NPI 1841268653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841268653 NPI number — MOHAMMAD M BARI PHYSICIAN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOHAMMAD M BARI PHYSICIAN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841268653
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
560 W 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JAMESTOWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-483-2603
Provider Business Mailing Address Fax Number:
716-483-2828

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
560 W 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JAMESTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-483-2603
Provider Business Practice Location Address Fax Number:
716-483-2828
Provider Enumeration Date:
03/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARI
Authorized Official First Name:
MOHAMMAD
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
71648336033

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  199853 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0409460 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00010355601 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8084144 . This is a "PHPC/CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0007652113 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 79916 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000524805002 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7102 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01775442 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000524805004 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com