Provider Demographics
NPI:1245393925
Name:STRAUBE, BARRY MAYNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MAYNARD
Last Name:STRAUBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W HILL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3842
Mailing Address - Country:US
Mailing Address - Phone:410-244-5839
Mailing Address - Fax:
Practice Address - Street 1:1 W HILL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3842
Practice Address - Country:US
Practice Address - Phone:410-244-5839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32670207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology