Provider Demographics
NPI:1437467891
Name:STEVEN J BARAD MD INC
Entity Type:Organization
Organization Name:STEVEN J BARAD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-689-1370
Mailing Address - Street 1:8120 TIMBERLAKE WAY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5412
Mailing Address - Country:US
Mailing Address - Phone:916-689-4889
Mailing Address - Fax:916-689-3828
Practice Address - Street 1:8120 TIMBERLAKE WAY
Practice Address - Street 2:SUITE 112
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5412
Practice Address - Country:US
Practice Address - Phone:916-689-4889
Practice Address - Fax:916-689-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG043713207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G437130Medicaid
CA00G437130Medicaid
CA00G43713Medicare PIN