1972839371 NPI number — DR. BARBARA LOPES CARDOZO MD, MPH

Table of content: DR. BARBARA LOPES CARDOZO MD, MPH (NPI 1972839371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972839371 NPI number — DR. BARBARA LOPES CARDOZO MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOPES CARDOZO
Provider First Name:
BARBARA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOPES CARDOZO
Provider Other First Name:
BARBARA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MPH
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1972839371
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 HIBERNIA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DECATUR
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30030-2947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-229-2146
Provider Business Mailing Address Fax Number:
404-229-2146

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 CENTURY BLVD
Provider Second Line Business Practice Location Address:
MAILSTOP V 25-1
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-498-0428
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  045542 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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