Provider Demographics
NPI:1174848469
Name:BARNES, MEREDITH BLYTHE (MD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:BLYTHE
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 LA JOLLA VILLAGE DR
Mailing Address - Street 2:3322N
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0002
Mailing Address - Country:US
Mailing Address - Phone:858-347-0976
Mailing Address - Fax:504-988-3971
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:3322N
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-347-0976
Practice Address - Fax:504-988-3971
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA125853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine