Provider Demographics
NPI:1043219355
Name:UEKI, BARTON H (MD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:H
Last Name:UEKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BARTON
Other - Middle Name:H
Other - Last Name:UEKI MD A PROFESSIONAL CORPORATION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12486 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1005
Mailing Address - Country:US
Mailing Address - Phone:562-693-0756
Mailing Address - Fax:562-693-2371
Practice Address - Street 1:12486 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1005
Practice Address - Country:US
Practice Address - Phone:562-693-0756
Practice Address - Fax:562-693-2371
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2019-10-22
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
CAA22592207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A225920Medicaid
CAA22592Medicare ID - Type Unspecified
CAA23164Medicare UPIN