MEDICARE: DR. AMRUTLAL J BAROT 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
1	2084N0400X	Neurology Physician	0101033679	VA
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	0101033679	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200032250	OTHER	VA	MEDICARE RR

Other Identifiers

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

General Provider Information

NPI Number	:	1629091434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMRUTLAL J BAROT M.D.

Provider Business Mailing Address
First Line	:	637 KINGSBOROUGH SQ
Second Line	:	SUITE E
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4944
Country	:	US
Telephone Number	:	757-410-2804
Fax Number	:	757-410-2813

Provider Business Practice Location Address
First Line	:	637 KINGSBOROUGH SQ
Second Line	:	SUITE E
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4944
Country	:	US
Telephone Number	:	757-410-2804
Fax Number	:	757-410-2813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/15/2011

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