Healthcare Provider Details

I. General information

NPI: 1518544816
Provider Name (Legal Business Name): VENUS BARLAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 06/17/2022
Certification Date: 06/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE # M-391
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

505 PARNASSUS AVENUE, M-391
SAN FRANCISCO CA
94143-1019
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2573
  • Fax:
Mailing address:
  • Phone:
  • Fax: 415-750-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: