Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101262619 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101262619 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 194832 | NY |
NPI | 1871594150 |
---|---|
Provider Name | David Alan Baran |
First Address | Norfolk, VA 23507 |
Second Address | Norfolk, VA 23507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 17/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011037 | (05) | NJ |
01822311 | (05) | NY |
083962TLF | (02) | NJ |
G68264 | (02) | NY |