Provider Demographics
NPI:1255517918
Name:DR. FRANKLIN H BAROI, PC
Entity type:Organization
Organization Name:DR. FRANKLIN H BAROI, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:480-632-9292
Mailing Address - Street 1:1828 E FLORENCE BLVD
Mailing Address - Street 2:BLD C SUITE 137
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-4783
Mailing Address - Country:US
Mailing Address - Phone:480-632-9292
Mailing Address - Fax:480-635-8111
Practice Address - Street 1:1828 E FLORENCE BLVD
Practice Address - Street 2:BLD C SUITE 137
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-4783
Practice Address - Country:US
Practice Address - Phone:480-632-9292
Practice Address - Fax:480-635-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ22605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ160507Medicaid
AZZ62861Medicare PIN
AZ160507Medicaid