Healthcare Provider Details

I. General information

NPI: 1972653376
Provider Name (Legal Business Name): FRANCIS LIONEL BARHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE CONTRA COSTA REGIONAL MEDICAL CENTER
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

843 AVALON AVE
LAFAYETTE CA
94549-5013
US

V. Phone/Fax

Practice location:
  • Phone: 925-370-5000
  • Fax:
Mailing address:
  • Phone: 925-284-5795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG6665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: