Provider Demographics
NPI:1548524903
Name:BACHOW, BARBARA HENICK (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:HENICK
Last Name:BACHOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5853 HAMILTON WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2509
Mailing Address - Country:US
Mailing Address - Phone:561-445-4452
Mailing Address - Fax:561-998-5733
Practice Address - Street 1:5853 HAMILTON WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2509
Practice Address - Country:US
Practice Address - Phone:561-445-4452
Practice Address - Fax:561-998-5733
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-30
Last Update Date:2012-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 451732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology