Provider Demographics
NPI:1750992764
Name:BARI, MEHREEN
Entity type:Individual
Prefix:
First Name:MEHREEN
Middle Name:
Last Name:BARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9451 PECKY CYPRESS WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6587
Mailing Address - Country:US
Mailing Address - Phone:516-637-5202
Mailing Address - Fax:
Practice Address - Street 1:7524 DR PHILLIPS BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5148
Practice Address - Country:US
Practice Address - Phone:407-226-9882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program