Provider Demographics
NPI:1841814225
Name:BARVE, RAHUL DEEPAK (MD)
Entity type:Individual
Prefix:MR
First Name:RAHUL
Middle Name:DEEPAK
Last Name:BARVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-3255
Mailing Address - Fax:614-366-2774
Practice Address - Street 1:460 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-3255
Practice Address - Fax:614-366-2774
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2022-10-24
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-10-12
Provider Licenses
StateLicense IDTaxonomies
OH57.2501152085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology