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NPI Code Detail

MEDICARE: SHIRLEY OTESIA BARR M.D.

MEDICARE: SHIRLEY OTESIA BARR 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
1208000000XPediatrics Physician11834DC
22080P0008XPediatric Neurodevelopmental Disabilities Physician11834DC

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 : 1992997779
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY OTESIA BARR M.D.
Provider Business Mailing Address
First Line : 6200 2ND ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1426
Country : US
Telephone Number : 202-722-2300
Fax Number : 202-722-2383
Provider Business Practice Location Address
First Line : 6200 2ND ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1426
Country : US
Telephone Number : 202-722-2300
Fax Number : 202-722-2383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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Directions to “ SHIRLEY OTESIA BARR M.D.” Practice Location

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