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NPI Code Detail

MEDICARE: DR. HENRY C BARBOT M.D.

MEDICARE:  DR. HENRY C BARBOT  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
12084P0800XPsychiatry Physician0101050697VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1189644OTHERVAANTHEM
20048OTHERVACARE FIRST BCBS
3299107OTHERVAAMERIGROUP VIRGINIA
4546001103002OTHERVATRICARE

General Provider Information

NPI Number : 1871662551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY C BARBOT M.D.
Provider Business Mailing Address
First Line : 13700 HOTOMTOT DR
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7156
Country : US
Telephone Number : 703-838-6400
Fax Number : 703-838-5070
Provider Business Practice Location Address
First Line : 720 N SAINT ASAPH ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-838-4455
Fax Number : 703-838-5070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/09/2007

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