Provider Demographics
NPI:1730121369
Name:GASIOR, BARBARA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LOUISE
Last Name:GASIOR
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 1:1041 NITHSDALE RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1430
Mailing Address - Country:US
Mailing Address - Phone:626-793-2204
Mailing Address - Fax:
Practice Address - Street 1:1041 NITHSDALE RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1430
Practice Address - Country:US
Practice Address - Phone:626-793-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62884207L00000X
IL036-092173207L00000X
IN01055344A207L00000X
NY206107-1207L00000X
MA91705192208600000X
AZLT1352207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA62884AOtherPPIN
BG5269875OtherDEA
CAWA62884AOtherPPIN