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NPI Code Detail

MEDICARE: MANISH B. BARIA M.D.

MEDICARE: MANISH B. BARIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME90993FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235111519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANISH B. BARIA M.D.
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-812-1654
Fax Number :
Provider Business Practice Location Address
First Line : 901 22ND AVE S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-2933
Country : US
Telephone Number : 727-310-0925
Fax Number : 727-376-9426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 10/22/2019

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Directions to “ MANISH B. BARIA M.D.” Practice Location

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