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NPI Code Detail

MEDICARE: BARBARA DIAKOS MD

MEDICARE: BARBARA DIAKOS MD
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
1207V00000XObstetrics & Gynecology Physician01082757AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21620171OTHERILBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912934423
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DIAKOS MD
Provider Business Mailing Address
First Line : 8558 BROADWAY
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-7032
Country : US
Telephone Number : 219-739-2770
Fax Number : 219-703-6854
Provider Business Practice Location Address
First Line : 9660 WICKER AVE
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9487
Country : US
Telephone Number : 219-226-2236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/07/2024

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Directions to “ BARBARA DIAKOS MD” Practice Location

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