Provider Demographics
NPI:1023095411
Name:FEINSTEIN, BARRY K (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:K
Last Name:FEINSTEIN
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 1:5924 HARBOUR PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2163
Mailing Address - Country:US
Mailing Address - Phone:804-739-9005
Mailing Address - Fax:804-739-9006
Practice Address - Street 1:5924 HARBOUR PARK DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2163
Practice Address - Country:US
Practice Address - Phone:804-739-9005
Practice Address - Fax:804-739-9006
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038621207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA726695OtherAETNA USHC
VA029755OtherANTHEM
VA6000631Medicaid
VA224952OtherMAMSI
VA59499OtherSOUTHERN HEALTH
VA68372OtherSENTERA
VA6000631Medicaid
VA224952OtherMAMSI
VA029755OtherANTHEM