Provider Demographics
NPI:1578665949
Name:BARI, NAVEED (MD)
Entity Type:Individual
Prefix:
First Name:NAVEED
Middle Name:
Last Name:BARI
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 1:1000 MINERAL POINT AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-2940
Mailing Address - Country:US
Mailing Address - Phone:608-756-6261
Mailing Address - Fax:608-743-3214
Practice Address - Street 1:1000 MINERAL POINT AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2940
Practice Address - Country:US
Practice Address - Phone:608-756-6261
Practice Address - Fax:608-743-3214
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084523207R00000X
WI38679-20207RC0200X
IL036-084523207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIBARINAVOtherMERCYCARE INSURANCE
IL036084523 5Medicaid
WI1578665949OtherBCBSWI
WI1578665949Medicaid
WIBARINAVOtherMERCYCARE INSURANCE
WIK400299219-54176Medicare PIN