Provider Demographics
NPI:1487402749
Name:BARI, TUBA (MD)
Entity type:Individual
Prefix:MS
First Name:TUBA
Middle Name:
Last Name:BARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HURLEY MEDICAL CENTER, GME OFFICE 100 W
Mailing Address - Street 2:1 HURLEY PLAZA 6A WEST
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503
Mailing Address - Country:US
Mailing Address - Phone:810-262-6046
Mailing Address - Fax:810-262-9736
Practice Address - Street 1:HURLEY MEDICAL CENTER, GME OFFICE 100 W
Practice Address - Street 2:1 HURLEY PLAZA 6A WEST
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503
Practice Address - Country:US
Practice Address - Phone:810-262-6046
Practice Address - Fax:810-262-9736
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program