Provider Demographics
NPI:1366650525
Name:BARNES, ZOWIE SHEENA (MD)
Entity Type:Individual
Prefix:
First Name:ZOWIE
Middle Name:SHEENA
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 1:1225 4TH ST NE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3431
Mailing Address - Country:US
Mailing Address - Phone:202-347-8512
Mailing Address - Fax:
Practice Address - Street 1:1225 4TH ST NE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3431
Practice Address - Country:US
Practice Address - Phone:202-347-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD006899207Q00000X
DEC1-0009546207Q00000X
DCMD039037207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD481963YVZMedicare PIN
MD477253YWV2Medicare PIN
MD481963ZDDBMedicare PIN