Provider Demographics
NPI:1952094724
Name:BAROCAS, CORBIN DANIEL (PA)
Entity type:Individual
Prefix:MR
First Name:CORBIN
Middle Name:DANIEL
Last Name:BAROCAS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4764 CHARRINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-9671
Mailing Address - Country:US
Mailing Address - Phone:317-800-0836
Mailing Address - Fax:
Practice Address - Street 1:4764 CHARRINGTON CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-9671
Practice Address - Country:US
Practice Address - Phone:317-800-0836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant