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NPI Code Detail

MEDICARE: BARRY R. HORN M.D.

MEDICARE: BARRY R. HORN M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianG20988CA
2207RP1001XPulmonary Disease PhysicianG20988CA

Other Identifiers

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

General Provider Information

NPI Number : 1316989445
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY R. HORN M.D.
Provider Business Mailing Address
First Line : 411 30TH ST
Second Line : SUITE 314
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-841-0689
Fax Number : 510-841-8119
Provider Business Practice Location Address
First Line : 411 30TH ST
Second Line : SUITE 314
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-465-6800
Fax Number : 510-268-0634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 01/14/2016

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