Healthcare Provider Details

I. General information

NPI: 1104829415
Provider Name (Legal Business Name): ARGHIRIS N BARBADIMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ARIS N BARBADIMOS

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BLACHLEY RD
STAMFORD CT
06902-0002
US

IV. Provider business mailing address

1 BLACHLEY RD
STAMFORD CT
06902-0002
US

V. Phone/Fax

Practice location:
  • Phone: 203-276-2277
  • Fax: 203-276-2278
Mailing address:
  • Phone: 203-276-2277
  • Fax: 203-276-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number199543
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number033319
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number199543
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: