Basic Information
Provider Information
NPI: 1518384502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARROS
FirstName: ANDREW
MiddleName:  
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Credential:  
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Mailing Information
Address1: PO BOX 9007
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229069007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1221 LEE ST
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229080816
CountryCode: US
TelephoneNumber: 4349245219
FaxNumber: 4342447509
Other Information
ProviderEnumerationDate: 03/27/2014
LastUpdateDate: 07/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X0101263408VAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X0101263408VAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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