Provider Demographics
NPI:1821142274
Name:BARKIN, JOAN WALLS (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:WALLS
Last Name:BARKIN
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 1:8612 NUTMEG CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1635
Mailing Address - Country:US
Mailing Address - Phone:301-365-6993
Mailing Address - Fax:
Practice Address - Street 1:5640 NICHOLSON LN
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2952
Practice Address - Country:US
Practice Address - Phone:301-984-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO31671208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics