Provider Demographics
NPI:1043470313
Name:ANTHONY E BARELLI MD PHD LTD
Entity type:Organization
Organization Name:ANTHONY E BARELLI MD PHD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-273-8080
Mailing Address - Street 1:3630 SW FAIRLAWN RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3966
Mailing Address - Country:US
Mailing Address - Phone:785-273-8080
Mailing Address - Fax:785-273-2583
Practice Address - Street 1:3630 SW FAIRLAWN RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3966
Practice Address - Country:US
Practice Address - Phone:785-273-8080
Practice Address - Fax:785-273-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0425771305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS050071972OtherRAILROAD MEDICARE
KS054801OtherBCBS
KS100354830AMedicaid
KSC95757OtherUPIN
KSC95757OtherUPIN
KS054801OtherBCBS
KSAB8588672OtherDEA