Individual
EVAGELIA BAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO26816
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209
—
OR
01
—
P00604907
RR MEDICARE - PROVIDENCE
OR
Enumeration date
06/06/2007
Last updated
10/02/2020
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