Provider Demographics
NPI:1750704482
Name:BARLAS, NELOFAR (PA-C)
Entity type:Individual
Prefix:
First Name:NELOFAR
Middle Name:
Last Name:BARLAS
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:43575 MISSION BLVD # 709
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5831
Mailing Address - Country:US
Mailing Address - Phone:510-931-4310
Mailing Address - Fax:510-894-0615
Practice Address - Street 1:3155 KEARNEY ST STE 100
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2268
Practice Address - Country:US
Practice Address - Phone:510-931-4310
Practice Address - Fax:510-894-0615
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2018-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA51358363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant