Provider Demographics
NPI:1659578698
Name:BARBARINO, SHEILA CHANG (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:CHANG
Last Name:BARBARINO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6836 BEE CAVES RD STE I-180
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5059
Mailing Address - Country:US
Mailing Address - Phone:512-732-7001
Mailing Address - Fax:310-347-4124
Practice Address - Street 1:6836 BEE CAVES RD STE I-180
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5059
Practice Address - Country:US
Practice Address - Phone:512-732-7001
Practice Address - Fax:310-347-4124
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1948207W00000X
CAA107345207W00000X
FLME144002207W00000X
NV25920207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA107345OtherMEDICAL LICENSE
NV25920OtherMEDICAL LICENSE
FLME144002OtherMEDICAL LICENSE
TXQ1948OtherMEDICAL LICENSE
CAW13961AOtherMEDICARE GROUP PTAN
CAW13961COtherMEDICARE GROUP PTAN
CAW13961BOtherMEDICARE GROUP PTAN
CAW13961OtherMEDICARE GROUP PTAN
CAA107345OtherMEDICAL LICENSE