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NPI Code Detail

MEDICARE: DR. RANDOLPH CORBIN BARROWS JR. MD, MS

MEDICARE: DR. RANDOLPH CORBIN BARROWS JR. MD, MS
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 Physician168477NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2168477OTHERNYSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1427049204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDOLPH CORBIN BARROWS JR. MD, MS
Provider Business Mailing Address
First Line : 3350 LA JOLLA VILLAGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92161-0002
Country : US
Telephone Number : 858-552-8585
Fax Number : 858-552-7452
Provider Business Practice Location Address
First Line : 3350 LA JOLLA VILLAGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92161-0002
Country : US
Telephone Number : 858-552-8585
Fax Number : 858-552-7452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/07/2023

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