Provider Demographics
NPI:1972667202
Name:BARMAR, BABAK (MD)
Entity Type:Individual
Prefix:DR
First Name:BABAK
Middle Name:
Last Name:BARMAR
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 1:1004 SUSHRUTA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-8802
Mailing Address - Country:US
Mailing Address - Phone:304-449-3778
Mailing Address - Fax:304-449-3777
Practice Address - Street 1:1004 SUSHRUTA DR
Practice Address - Street 2:SUITE A
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-8802
Practice Address - Country:US
Practice Address - Phone:304-449-3778
Practice Address - Fax:304-449-3777
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24463207R00000X, 207RG0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine