NPI 1063614352 · live from the CMS NPI Registry
Elizabeth Ann Barkoudah, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Boston, MA. National Provider Identifier 1063614352, active.
NPI record
| NPI | 1063614352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 300 Longwood Ave, Fegan 11, Boston, MA 02115 |
| Practice phone | 617-355-6388 |
| Mailing address | 11 Grovenor Rd, Apt 3, Jamaica Plain, MA 02130 |
| Enumerated | May 31, 2007 |
| Last updated | April 14, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 231486 (MA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 231486 (MA) |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | 231486 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.