Individual
DR. ANTOINETTE C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 2100, INDIANAPOLIS, IN 46256-1621
(317) 621-2740
(317) 621-5658
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010707370
IN
208000000X
Pediatrics Physician
Primary
01070370A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11013402A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201018890
—
IN
05
—
201047970
—
IN
01
—
P02198384
MEDICARE RR
IN
Enumeration date
06/09/2008
Last updated
05/21/2019
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