Provider Demographics
NPI:1780399279
Name:BARNES, CHANDRIKA LOUISE
Entity type:Individual
Prefix:
First Name:CHANDRIKA
Middle Name:LOUISE
Last Name:BARNES
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 1:1128 LAIDLAW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-5016
Mailing Address - Country:US
Mailing Address - Phone:513-259-0318
Mailing Address - Fax:
Practice Address - Street 1:1128 LAIDLAW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-5016
Practice Address - Country:US
Practice Address - Phone:513-259-0318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker