Provider Demographics
NPI:1265454375
Name:KERMAN, BARRY MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MARTIN
Last Name:KERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21675 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6431
Mailing Address - Country:US
Mailing Address - Phone:510-538-5252
Mailing Address - Fax:510-538-3884
Practice Address - Street 1:21675 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-6431
Practice Address - Country:US
Practice Address - Phone:510-538-5252
Practice Address - Fax:510-538-3884
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG21061207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41161Medicare UPIN