Provider Demographics
NPI:1104829415
Name:BARBADIMOS, ARGHIRIS N (MD)
Entity Type:Individual
Prefix:
First Name:ARGHIRIS
Middle Name:N
Last Name:BARBADIMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARIS
Other - Middle Name:N
Other - Last Name:BARBADIMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 BLACHLEY RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-0002
Mailing Address - Country:US
Mailing Address - Phone:203-276-2277
Mailing Address - Fax:203-276-2278
Practice Address - Street 1:1 BLACHLEY RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-0002
Practice Address - Country:US
Practice Address - Phone:203-276-2277
Practice Address - Fax:203-276-2278
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199543171100000X, 2081P2900X
CT0333192081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT250000329Medicare PIN