Healthcare Provider Details

I. General information

NPI: 1225175367
Provider Name (Legal Business Name): ALFONSO E. BARNES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 MONTGOMERY RD
CINCINNATI OH
45242-7741
US

IV. Provider business mailing address

9030 MONTGOMERY RD
CINCINNATI OH
45242-7741
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-6868
  • Fax: 513-221-6871
Mailing address:
  • Phone: 513-221-6868
  • Fax: 513-221-6871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35-043892
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: